Provider Demographics
NPI:1235201500
Name:CYNTHIA J CAPUTO MD PC
Entity Type:Organization
Organization Name:CYNTHIA J CAPUTO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CAPUTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-220-5550
Mailing Address - Street 1:1900 NW COPPER OAKS CIR
Mailing Address - Street 2:BLDG 1
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-8300
Mailing Address - Country:US
Mailing Address - Phone:816-220-5550
Mailing Address - Fax:816-220-5588
Practice Address - Street 1:1900 NW COPPER OAKS CIR
Practice Address - Street 2:BLDG 1
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-8300
Practice Address - Country:US
Practice Address - Phone:816-220-5550
Practice Address - Fax:816-220-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112008207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOCJ3683OtherRAILROAD MEDICARE
MO26463016OtherBCBS OF KANSAS CITY
1215918966OtherNPI
MO26463016OtherBCBS OF KANSAS CITY
MOCJ3683OtherRAILROAD MEDICARE