NPIMap

Organization Active NPI

Baltimore Center for Facial Plastic Surgery, L.L.C.

  • Facial Plastic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1689857096
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
D0060483 Issued in MD
Legal business name
BALTIMORE CENTER FOR FACIAL PLASTIC SURGERY, L.L.C.
Practice address
6535 N Charles St
Physicians Pavilion North
Baltimore, MD 21204-5826
Phone
(410) 848-4123
Fax
(410) 848-4124
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Randolph Baker Capone, M.D.
Title
Owner
Phone
(410) 848-4123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YS0123X D0060483 MD Primary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X D0060483 MD

Addresses

Primary practice location

6535 N Charles St
Physicians Pavilion North
Baltimore, MD 21204-5826

Mailing address

6535 N Charles St
Physicians Pavilion North
Baltimore, MD 21204-5826
Phone (410) 848-4123

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1689857096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "PHYSICIANS PAVILION NORTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-848-4123",
            "fax_number": "410-848-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "PHYSICIANS PAVILION NORTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-848-4123",
            "fax_number": "410-848-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE CENTER FOR FACIAL PLASTIC SURGERY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "CAPONE",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-848-4123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MD",
            "license": "D0060483",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0060483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.