Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5727 CENTRE AVE
PITTSBURGH PA
15206-3707
US

IV. Provider business mailing address

5727 CENTRE AVE
PITTSBURGH PA
15206-3707
US

V. Phone/Fax

Practice location:
  • Phone: 412-363-6626
  • Fax: 412-363-7008
Mailing address:
  • Phone: 412-363-6626
  • Fax: 412-363-7008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD428761
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD035911L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License NumberMD035911L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD035911L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD035911L
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberMD025515E
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License NumberMD025515E
License Number StatePA
# 8
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD025515E
License Number StatePA
# 9
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD025510E
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberMD025510E
License Number StatePA
# 11
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberMD025510E
License Number StatePA
# 12
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberMD025510E
License Number StatePA
# 13
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD025510E
License Number StatePA

VIII. Authorized Official

Name: RAYMOND A CAPONE JR.
Title or Position: OWNER
Credential: M.D.
Phone: 412-363-6626