Individual
DR. JESSE LEE CAPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5193 W BROAD ST, COLUMBUS, OH 43228-1691
(614) 544-1450
(614) 533-0136
Mailing address
5193 W BROAD ST STE 200, COLUMBUS, OH 43228-1695
(614) 544-1450
(614) 544-1451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35123787
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
06/09/2011
Last updated
10/23/2024
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