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1942308770

NPI Code Detail

MEDICARE: R.A. CAPONE, JR., M.D., P.C.

MEDICARE: R.A. CAPONE, JR., M.D., P.C.

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
1	207L00000X	Anesthesiology Physician	MD035911L	PA
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	MD035911L	PA
3	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	MD035911L	PA
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD035911L	PA
5	207ZC0500X	Cytopathology Physician	MD025515E	PA
6	207ZH0000X	Hematology (Pathology) Physician	MD025515E	PA
7	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD025515E	PA
8	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	MD025510E	PA
9	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	MD025510E	PA
10	2086S0105X	Surgery of the Hand (Surgery) Physician	MD025510E	PA
11	2086S0122X	Plastic and Reconstructive Surgery Physician	MD025510E	PA
12	174400000X	Specialist	MD428761	PA
13	208200000X	Plastic Surgery Physician	MD025510E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080381	OTHER	PA	HIGHMARK GROUP NUMBER

General Provider Information

NPI Number	:	1942308770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R.A. CAPONE, JR., M.D., P.C.

Provider Business Mailing Address
First Line	:	5727 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3707
Country	:	US
Telephone Number	:	412-363-6626
Fax Number	:	412-363-7008

Provider Business Practice Location Address
First Line	:	5727 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3707
Country	:	US
Telephone Number	:	412-363-6626
Fax Number	:	412-363-7008

Authorized Official
Title or Position	:	OWNER
Name	:	RAYMOND A CAPONE JR.
Credential	:	M.D.
Telephone Number	:	412-363-6626

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/08/2013

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Directions to “R.A. CAPONE, JR., M.D., P.C. ” Practice Location

Language	Start Address	Practice Location

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