| Dr Peter Alexander Caputo, MD | |
|
4252 S Highland Dr Ste 200, Holladay, UT 84124-2690 | |
| (801) 993-1800 | |
| Not Available |
| Full Name | Dr Peter Alexander Caputo |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 4252 S Highland Dr Ste 200, Holladay, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992050041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35.124046 (Ohio) | Secondary |
| 208800000X | Urology | 9685201-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Intermountain Medical Center | Murray, UT | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Alta View Hospital | Sandy, UT | Hospital |
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 172 |
| Bmh Inc | 8426149758 | 124 |
| Bingham Memorial Hospital | 8426955014 | 67 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Alexander Caputo, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Peter Alexander Caputo, MD 4252 S Highland Dr Ste 200, Holladay, UT 84124-2690 Ph: (801) 993-1800 |
Matthew D Pearson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 S Highland Dr Ste 207, Holladay, UT 84124 Phone: 801-993-1800 |