Charles P Capito

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

12032 Issued in WV

Legal business name

CHARLES P CAPITO

Practice address

703 Colliers Way
Weirton, WV 26062-5016

Phone

(304) 723-3355

Fax

(304) 723-5638

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Peter Capito, MD

Title

Owner

Phone

(304) 723-3355

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1891893889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625016",
            "telephone_number": "304-723-3355",
            "fax_number": "304-723-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625016",
            "telephone_number": "304-723-3355",
            "fax_number": "304-723-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P CAPITO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "CAPITO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-723-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "12032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598929",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812251000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2340792",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099372000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Weirton, WV
• Orthopaedic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.