Individual
JAMES OLIVER CAPPELLARI IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7595
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7595
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
38309
NC
207ZP0101X
Anatomic Pathology Physician
38309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10292
PARTNERS
NC
01
—
21079
BLUE CROSS
NC
05
—
211607000
—
WV
01
—
64233
MEDCOST
NC
05
—
6602681
—
VA
01
—
7801770
AETNA
NC
05
—
8921079
—
NC
05
—
Q38309
—
SC
Enumeration date
11/30/2005
Last updated
08/19/2010
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