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NPI Code Detail

MEDICARE: DR. ANTHONY L CAPOCELLI JR. M.D.

MEDICARE: DR. ANTHONY L CAPOCELLI JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery PhysicianE2162AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3140007749OTHERARRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118474000000OTHERARUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
45L165OTHERARARKANSAS BLUE CROSS
5962562OTHERARUSA MCO
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871561167
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY L CAPOCELLI JR. M.D.
Provider Business Mailing Address
First Line : 800 FAIR PARK BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1720
Country : US
Telephone Number : 501-604-6900
Fax Number : 501-604-4167
Provider Business Practice Location Address
First Line : 800 FAIR PARK BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1720
Country : US
Telephone Number : 501-604-6900
Fax Number : 501-604-6941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 01/11/2019

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