| Geoffrey Capraro, MD | |
|
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
| (401) 854-2504 | |
| (401) 854-2519 |
| Full Name | Geoffrey Capraro |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832044 | NPI | - | NPPES |
| 01-13-2011 | Other | RI | NHPRI |
| 939025129 | Other | RI | GROUP - RI MEDICARE |
| 03-22-2011 | Other | MA | TUFTS HEALTH PLAN |
| A3266902 | Other | RI | RI MEDICARE |
| 110003340 | Medicaid | MA | |
| 12-24-2010 | Other | RI | BCBSRI |
| GC58663 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 206326 (Massachusetts) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD13447 (Rhode Island) | Primary |
| Entity Name | Brown Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey Capraro, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Geoffrey Capraro, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 854-2504 |
Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 |
Rudiger C. Ramlal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Warren Way, Providence, RI 02905 Phone: 401-444-0530 Fax: 401-444-0423 |
Lala Mammadova, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Plain St, Providence, RI 02903 Phone: 401-793-8100 |
Natalia Lukankina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4515 |