Healthcare Provider Details

I. General information

NPI: 1922798966
Provider Name (Legal Business Name): JOAN BEATRICE CAPELLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E ROBINSON ST STE 2300
NORMAN OK
73071-6671
US

IV. Provider business mailing address

500 E ROBINSON ST STE 2300
NORMAN OK
73071-6671
US

V. Phone/Fax

Practice location:
  • Phone: 405-515-1780
  • Fax:
Mailing address:
  • Phone: 405-515-1780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47732
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10082686
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: