Provider Demographics
NPI:1780869958
Name:RICHARD D CAPRIOTTI MD ASSOCIATION INC
Entity type:Organization
Organization Name:RICHARD D CAPRIOTTI MD ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAPRIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-942-9081
Mailing Address - Street 1:1223 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-3433
Mailing Address - Country:US
Mailing Address - Phone:814-942-9081
Mailing Address - Fax:814-942-3075
Practice Address - Street 1:1223 13TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-3433
Practice Address - Country:US
Practice Address - Phone:814-942-9081
Practice Address - Fax:814-942-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012741E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007031540001Medicaid
PA0007031540001Medicaid
PA139811Medicare PIN