Provider Demographics
NPI:1194204800
Name:CAPEK, JUSTIN R (NP)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:R
Last Name:CAPEK
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8150 PERRY HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5200
Mailing Address - Country:US
Mailing Address - Phone:724-741-0044
Mailing Address - Fax:412-369-9566
Practice Address - Street 1:8150 PERRY HWY STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5232
Practice Address - Country:US
Practice Address - Phone:412-364-2664
Practice Address - Fax:412-364-8037
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAF07181388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1036028640001Medicaid