Healthcare Provider Details

I. General information

NPI: 1720065766
Provider Name (Legal Business Name): PETE CAPLES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10506 MONTGOMERY RD SUITE 504
CINCINNATI OH
45242-4487
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD 2ND FLOOR, CBO 2-3
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-792-7800
  • Fax: 513-792-7807
Mailing address:
  • Phone: 513-792-7800
  • Fax: 513-792-7807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35039198
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: