Your Travel Health LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD023698E Issued in PA

Legal business name

YOUR TRAVEL HEALTH LLC

Practice address

847 Youngs Ford Rd
Gladwyne, PA 19035-1610

Phone

(215) 880-7090

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gaetano Capone, MD

Title

President

Phone

(215) 880-7272

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1831637263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193120523",
            "telephone_number": "215-880-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 YOUNGS FORD RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351610",
            "telephone_number": "215-880-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR TRAVEL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "CAPONE",
        "authorized_official_first_name": "GAETANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-880-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD023698E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669437604",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285802353",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Mark Raines, M.D.
• Alyson Beth Simpson, MD
• Carolyn M. Sutor, VMD
• Penn Tong, M.D
• Waverly Heights
• Joyce Zinsenheim, MD

• Cardiovascular Disease Physician in Gladwyne, PA
• Providers in Gladwyne, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.