Provider Demographics
NPI:1154469542
Name:CAPLAN, EDWARD A (DPM)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:A
Last Name:CAPLAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 LEWIS AVE
Mailing Address - Street 2:PO BOX 1015
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1209
Mailing Address - Country:US
Mailing Address - Phone:740-477-3668
Mailing Address - Fax:740-477-8522
Practice Address - Street 1:135 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1209
Practice Address - Country:US
Practice Address - Phone:740-477-3668
Practice Address - Fax:740-477-8522
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.001936213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0414993Medicaid
T80648Medicare UPIN
OHCA0471404Medicare ID - Type Unspecified
OHCA0471403Medicare ID - Type Unspecified