Provider Demographics
NPI:1285823542
Name:CAPITOL HEALTH MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:CAPITOL HEALTH MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCOY-COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-548-5106
Mailing Address - Street 1:4708 BLAGDEN TERRENCE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3720
Mailing Address - Country:US
Mailing Address - Phone:202-548-5106
Mailing Address - Fax:202-548-5180
Practice Address - Street 1:1160 VARNUM ST NE
Practice Address - Street 2:SUITE 317
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2107
Practice Address - Country:US
Practice Address - Phone:202-636-1131
Practice Address - Fax:202-636-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN3652133NN1002X, 207R00000X, 207RC0000X, 207RG0100X, 207RH0003X, 207RN0300X, 207V00000X, 207W00000X, 207X00000X, 207Y00000X, 2084N0400X, 208600000X, 208800000X, 213ES0131X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1194760512OtherNPI
DC1992746127OtherNPI
DC1477542306OtherNPI
DC1306939376OtherNPI
DC1831259902OtherNPI
DC1841412319OtherNPI
DC1033100581OtherNPI
DC1669458931OtherNPI
DC1457459778OtherNPI
DC1487738308OtherNPI
DC1710064373OtherNPI
DC1912938408OtherNPI
DC039271500Medicaid
DC1073689782OtherNPI
DC1336135979OtherNPI
DC1407867146OtherNPI
DC1801803283OtherNPI
DC1982718383OtherNPI
DC1215008982OtherNPI
DC1992926976OtherNPI