Mark J Capriolo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40650 Issued in WI

Practice address

601 Reed Ave
Manitowoc, WI 54220-2026

Phone

(920) 682-8841

NPI assigned

Nov 24, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Holy Family Memorial Inc

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1851466759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 REED AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202026",
            "telephone_number": "920-682-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 REED AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202026",
            "telephone_number": "920-682-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIOLO",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "40650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32549700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Schroeder Psych SC
• Beverly A. Calub, M.D.
• Matthew Campbell, MD
• Patricia J Cantagallo, MD
• Julie Capello, OTA
• Geralyn Ann Carducci, DO
• Nina Carlson
• Theresa Carlson
• Jeremiah Carolfi, PHARMD
• Debra Kay Carstens, P.T.A.

• Internal Medicine Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.