Provider Demographics
NPI:1093785032
Name:CAPRON, THEODORE H (MD)
Entity Type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:H
Last Name:CAPRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03247-1327
Mailing Address - Country:US
Mailing Address - Phone:603-524-3211
Mailing Address - Fax:603-527-7038
Practice Address - Street 1:238 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-5803
Practice Address - Country:US
Practice Address - Phone:603-279-7464
Practice Address - Fax:603-279-8467
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7074207Q00000X
CODR.0057938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO028779OtherKAISER COMMERCIAL NUMBER
NH30006723Medicaid
NH010296YPNH01OtherANTHEM
NH71575OtherHARVARD PILGRIM HLTHCARE
NH3367340OtherAETNA
NH6283669OtherCIGNA
NH383802OtherMVP
NH383802OtherMVP
NH71575OtherHARVARD PILGRIM HLTHCARE