Provider Demographics
NPI:1215918966
Name:CAPUTO, CYNTHIA JANE (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JANE
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 NW COPPER OAKS CIR
Mailing Address - Street 2:BLDG 1
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-8300
Mailing Address - Country:US
Mailing Address - Phone:816-220-5550
Mailing Address - Fax:816-220-5588
Practice Address - Street 1:1900 NW COPPER OAKS CIR
Practice Address - Street 2:BLDG 1
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-8300
Practice Address - Country:US
Practice Address - Phone:816-220-5550
Practice Address - Fax:816-220-5588
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO112008207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5947093OtherAETNA
MO00007414OtherNHC HEALTH BENEFIT PLAN
MOA003OtherWPS WEST REGION
MO405635OtherBLUE SHIELD KANSAS
MO160054935OtherRAILROAD MEDICARE
56-2661163OtherTAX IDENTIFICATION NUMBER
MO336527OtherHEALTHLINK
MO39532013OtherBLUE CROSS BLUE SHIELD OF KANSAS CITY
MO160054935OtherRAILROAD MEDICARE
MO5947093OtherAETNA