Organization Active NPI

Robert S Caputo D.O.,P.a.

  • Obstetrics & Gynecology Physician
  • Crestview, FL
National Provider Identifier
1790089407
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0S005464 Issued in FL
Legal business name
ROBERT S CAPUTO D.O.,P.A.
Practice address
194 E Redstone Ave Ste B
Crestview, FL 32539-5368
Phone
(850) 398-8873
Fax
(850) 398-8897
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Mrs. Robert Scott Caputo, D.O.NPI 1376578146
Title
Provider
Phone
(850) 398-8873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0S005464 FL Primary

Addresses

Primary practice location

194 E Redstone Ave Ste B
Crestview, FL 32539-5368

Mailing address

194 E Redstone Ave Ste B
Crestview, FL 32539-5368
Phone (850) 398-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000666 FL Part B Supplier - Clinic/Group Practice 6800073396 Receives reassigned benefits from 1 practitioner
Practice locations: Crestview, FL

National Provider Directory

National Provider Directory

Locations

114 Cedar Ave
Crestview, FL 32536
Phone (850) 398-8873

194 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1790089407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E REDSTONE AVE STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395368",
            "telephone_number": "850-398-8873",
            "fax_number": "850-398-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E REDSTONE AVE STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395368",
            "telephone_number": "850-398-8873",
            "fax_number": "850-398-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S CAPUTO D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "850-398-8873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "0S005464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.