NPIMap

Organization Active NPI

Independent Provider

  • Exclusive Provider Organization
  • S Charleston, OH
National Provider Identifier
1821217308
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
SK307751 Issued in OH
Legal business name
INDEPENDENT PROVIDER
Doing business as
Independent Provider
Practice address
2273 Newlove Rd
S Charleston, OH 45368-9732
Phone
(937) 324-4438
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Wendy Sue Capper
Title
Independent Provider
Phone
(937) 324-4438

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X SK307751 OH Primary
Preferred Provider Organization 305R00000X SK307751 OH

Addresses

Primary practice location

2273 Newlove Rd
S Charleston, OH 45368-9732

Mailing address

PO Box 427
S Charleston, OH 45368-0427
Phone (937) 324-4438

Other names 1

  • Independent Provider Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1821217308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "S CHARLESTON",
            "state": "OH",
            "postal_code": "453680427",
            "telephone_number": "937-324-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 NEWLOVE RD",
            "city": "S CHARLESTON",
            "state": "OH",
            "postal_code": "453689732",
            "telephone_number": "937-324-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CAPPER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "INDEPENDENT PROVIDER",
        "authorized_official_telephone_number": "937-324-4438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "SK307751",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "SK307751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in S Charleston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.