Provider Demographics
NPI:1083823736
Name:PHILIPPE A CAPRARO MD PC
Entity Type:Organization
Organization Name:PHILIPPE A CAPRARO MD PC
Other - Org Name:GROSSMAN CAPRARO PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-320-6113
Mailing Address - Street 1:4600 HALE PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4020
Mailing Address - Country:US
Mailing Address - Phone:303-320-5566
Mailing Address - Fax:303-377-7067
Practice Address - Street 1:4600 HALE PKWY
Practice Address - Street 2:STE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4020
Practice Address - Country:US
Practice Address - Phone:303-320-5566
Practice Address - Fax:303-377-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC382908Medicare ID - Type UnspecifiedMEDICARE GROUP #