Basic Information
Provider Information
NPI: 1720065766
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAPLES
FirstName: PETE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 237 WILLIAM HOWARD TAFT RD
Address2: 2ND FLOOR, CBO 2-3
City: CINCINNATI
State: OH
PostalCode: 452192610
CountryCode: US
TelephoneNumber: 5137927800
FaxNumber: 5137927807
Practice Location
Address1: 10506 MONTGOMERY RD
Address2: SUITE 504
City: CINCINNATI
State: OH
PostalCode: 452424487
CountryCode: US
TelephoneNumber: 5137927800
FaxNumber: 5137927807
Other Information
ProviderEnumerationDate: 12/30/2005
LastUpdateDate: 11/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X35039198OHY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

ID Information
IDTypeStateIssuerDescription
0600320201 RAILROAD MEDICAREOTHER
064144201OHAETNAOTHER
11006152801OHRR MEDICAREOTHER
00000001972401OHANTHEMOTHER
31143887107601OHCARESOURCE MEDICAID OHOTHER
25-2040601 UNITED HEALTHCAREOTHER
39198-1401OHHUMANAOTHER
039208905OH MEDICAID
28376101OHAMERIGROUP MEDICAID OHOTHER
10033595005IN MEDICAID
6476960705KY MEDICAID


Home