Christopher Conrad Capel, MD
Individual provider Active NPI Surgery Physician · Greenwood, MS
NPI 1891709200 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1891709200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 15299 (MS)
- Practice address
- 501 W Washington St
Greenwood, MS 38930-4237 - Phone
- (662) 453-4641
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44466 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas Surgical Group PA | Past |
Accepting new patients | |
| Arizona Radiation Therapy Management Services Inc | Past | Accepting new patients | |
| Capel Surgical Associates, LLC | Past | Accepting new patients | |
| MD Med Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 44466 | WA | |
| Surgery Physician | 208600000X | 37937 | AZ | |
| Surgery Physician | 208600000X | 15299 | MS | Yes |
Addresses
Primary practice location
501 W Washington St
Greenwood, MS 38930-4237
Mailing address
PO Box 1410
Attn: Christopher Capel
Greenwood, MS 38935-1410
Phone (662) 459-7189
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4942607 | Other | AZ | CIGNA |
| 8415952 | Medicaid | WA | |
| 305844 | Medicaid | AZ |
Other providers in Greenwood, MS
- Jasmne Rakiya Cain
- Keisha Campbell
- Kimberly Cannon
- Capel Surgical Clinic, LLC
- Capel Vascular Center, LLC
- Felicia Denise Carodine
- Jennifer Neff Carson
- Amanda Fay Carter
- Michael Carter
- Lakeita A Cary
All providers in Greenwood, MS · Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.