DR. JEFFREY DAVID DECAPRIO


Address: 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766
Phone: 9036143000

DR. JEFFREY DAVID DECAPRIO (NPI# 1447255229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447255229
Entity Type Individual
Full Name DR. JEFFREY DAVID DECAPRIO
Credential MD
Practice Address 5002 Cowhorn Creek Rd
Texarkana
TX 75503-9766
Practice Telephone 9036143000
Practice Fax Number 9036143525
Mailing Telephone 9036143000
Mailing Fax Number 9036143525
Enumeration Date 2005-06-17
Last Update Date 2013-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
K0284 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 157600103 05
AR GROUP 8-P149 82411 01
AR 149598001 05
TX BLUE CROSS/BLUE SHIELD 0035MH 01
TX QUALCHOICE QCA OF AR 03080021800 01
TX 157600102 05

Office Location

Street Address 5002 COWHORN CREEK RD
City TEXARKANA
State TX
Zip Code 75503-9766

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225681604 Lauren N. Hadaway Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2019-07-24
1144872839 Brandi M. Martin Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2019-07-12
1093292104 Heidi R Smith Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2018-07-20
1194215814 Angela L Bowen Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2018-05-17
1689174955 Cody C Ray Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2018-02-13
1699282087 Melissa Ann Lamon Registered Nurse 5002 Cowhorn Creek Rd, Texarkana, TX 75503 2018-01-07
1013443589 Laura L Jackson Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2017-05-03
1316478852 Schamma Salomon Internal Medicine 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2017-03-26
1346781325 Melissa Elizabeth Redfearn Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2017-03-10
1053864140 Melanie S Graham Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2016-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770049397 Jeffery Nash Nurse Practitioner #4 Valley View Circle, Texarkana, TX 75503 2019-02-19
1821583501 Brandy D Acker Psychologist 3615 Richmond Rd, Texarkana, TX 75503 2018-06-26
1366935066 Samantha Lee Harris Nurse Practitioner 4116 Mcknight Rd, Texarkana, TX 75503 2018-06-07
1811416910 Heather Alison Gerber Nurse Practitioner 5903 Brenda Street, Texarkana, TX 75503 2017-09-11
1952838682 John Kyle Abney Counselor 4134 Mcknight Rd, Texarkana, TX 75503 2017-05-12
1699151514 Piney Woods Er IIi LLC Clinic/Center 4102 Gibson Lane, Texarkana, TX 75503 2015-08-03
1609282433 Colby Rebecca Pair Physician Assistant 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 2014-07-01
1265842496 Healthcare Express, LLP Clinic/Center 3513 Richmond Rd, Texarkana, TX 75503 2014-04-28
1134540628 Eagle Dental Center of Texarkana Pllc Dentist 4009 Moores Ln, Texarkana, TX 75503 2013-12-30
1326481664 Juancarlo S. Pascual Family Medicine 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 2013-04-16
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235283425 Jeffrey D Decaprio Md Pa Surgery 2717 Summerhill Rd, Texarkana, TX 75503-3957 2007-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407482003 Endovascular Lab Pllc Surgery 612 N Washington Avenue, Suite 100, Odessa, TX 79761 2020-03-16
1356980163 Jeffrey M. Martinez, M.d., P.a. Surgery 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 2019-12-26
1245875061 Usa Vascular Center of Dallas Pllc Surgery 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 2019-11-15
1740830959 Coastal Plains Endeavors LLC Surgery 1602 E Houston St Ste A, Beeville, TX 78102-5335 2019-09-19
1205488632 Usa Vein Clinics of Dallas Pllc Surgery 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 2019-07-16
1558922625 Sudad Kareem Al Hadad Surgery 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 2019-06-27
1043782907 Timothy C. Pringle Md Pa Surgery 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 2018-12-17
1518449701 Kenton Lee Rommens Surgery 6400 Fannin St. Suite 2850, Houston, TX 77030 2018-09-04
1336633999 Total Vein Treatment Centers Surgery 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 2018-06-18
1508384652 Jcm Vein Pllc Vein Care Coastal Bend Surgery 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 2017-09-08
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Competitor

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City TEXARKANA
Zip Code 75503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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