Philip Ralph Caropreso, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Practice address

630 Locust St
Carthage, IL 62321-1459

Phone

(217) 357-2173

Fax

(217) 357-3610

NPI assigned

Jun 7, 2006

Last updated

Nov 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1851331185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 GRAND AVE",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322943",
            "telephone_number": "319-524-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LOCUST ST",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211459",
            "telephone_number": "217-357-2173",
            "fax_number": "217-357-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROPRESO",
        "first_name": "PHILIP",
        "middle_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4128926",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "20232",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "2002004653",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Brummell, PMHNP-BC
• Lindsay Brummell, LPC
• Douglas C Buelt, P.T.
• Rosalinda Campos, M.D
• Krista M Carle, APN-BC
• Carthage Chiropractic and Wellness Center, Inc.
• Carthage Cusd 338
• Carthage Elementary SD 317
• Chaddock Attachment and Trauma Services
• Charles F Eddingfield MD

• Surgery Physician in Carthage, IL
• Providers in Carthage, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.