Provider Demographics
NPI:1760441778
Name:CAPUTO, GARRETT C (MD)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:C
Last Name:CAPUTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-8510
Mailing Address - Country:US
Mailing Address - Phone:603-728-8395
Mailing Address - Fax:
Practice Address - Street 1:501 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-8510
Practice Address - Country:US
Practice Address - Phone:603-728-8395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO52178207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57601836Medicaid
CO1760441778OtherNPI
CO52178OtherCOLORADO MEDICAL LICENSE
CO338576YRLFMedicare PIN
NH541426OtherCIGNA HEALTHCARE
NH01Y002880NH01OtherBLUE CROSS BLUE SHIELD
VTORE6060Medicaid
VT58292OtherBLUE CROSS BLUE SHIELD