SUSAN C CAPELLE (NPI# 1275584872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275584872 |
Entity Type | Individual |
Full Name | SUSAN C CAPELLE |
Credential | M.D. |
Practice Address |
3496 University Ave Morgantown WV 26505-3001 |
Practice Telephone | 3045997075 |
Practice Fax Number | 3045816800 |
Mailing Telephone | 3045997075 |
Mailing Fax Number | 3045816800 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2017-06-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 20147 | WV | Other Service Providers |
N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
20147 | WV | Allopathic & Osteopathic Physicians |
Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
20147 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 6200220000 | 05 |
Street Address |
3496 UNIVERSITY AVE |
City | MORGANTOWN |
State | WV |
Zip Code | 26505-3001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629553532 | Jasmine T Cutlip | Nurse Practitioner | 3496 University Ave, Morgantown, WV 26505-3001 | 2018-09-26 |
1013362193 | Chelsea Collins | Nurse Practitioner | 3496 University Ave, Morgantown, WV 26505-3001 | 2016-04-26 |
1376932673 | Kristen Carpenter | Nurse Practitioner | 3496 University Ave, Morgantown, WV 26505-3001 | 2015-01-10 |
1780089037 | Rachel Adams | Nurse Practitioner | 3496 University Ave, Morgantown, WV 26505-3001 | 2014-10-29 |
1447697859 | Susan Capelle Md, Pllc | Specialist | 3496 University Ave, Morgantown, WV 26505-3001 | 2013-05-24 |
1982983854 | Holly K Shapiro | Nurse Practitioner | 3496 University Ave, Morgantown, WV 26505-3001 | 2011-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
Find all providers in zip 26505 |
Taxonomy Code | 2088F0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
City | MORGANTOWN |
Zip Code | 26505 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.