=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235201500
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CYNTHIA J CAPUTO MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2006
-----------------------------------------------------
Last Update Date | 10/23/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1900 NW COPPER OAKS CIR BLDG 1
-----------------------------------------------------
City | BLUE SPRINGS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64015-8300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-220-5550
-----------------------------------------------------
Fax | 816-220-5588
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1900 NW COPPER OAKS CIR BLDG 1
-----------------------------------------------------
City | BLUE SPRINGS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64015-8300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-220-5550
-----------------------------------------------------
Fax | 816-220-5588
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CYNTHIA JANE CAPUTO
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 816-220-5550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 112008
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------