Provider Demographics
NPI:1447368196
Name:CHAPMAN, STEPHEN JAMES (DPM)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JAMES
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WALNUT COMMONS LANE
Mailing Address - Street 2:SUITE A
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-6037
Mailing Address - Country:US
Mailing Address - Phone:931-528-1331
Mailing Address - Fax:931-528-6893
Practice Address - Street 1:120 WALNUT COMMONS LANE
Practice Address - Street 2:SUITE A
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-6037
Practice Address - Country:US
Practice Address - Phone:931-528-1331
Practice Address - Fax:931-528-6893
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM0000000352213E00000X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN621360419OtherTAX ID
TNCJ4133OtherMEDICARE RAILROAD GROUP
2740075OtherUNITED HEALTHCARE OF TN
TN3351893Medicaid
TN7138919OtherAMSI LIFE & HEALTH INS CO
TN8069619OtherCIGNA HEALTHCARE INS
TN0084212OtherBLUE CROSS BLUE SHIELD
TN0789170001OtherMEDICARE DME
TN480014986OtherMEDICARE RAILROAD
TNDPM0000000352OtherPODIATRY LICENSE
2740075OtherUNITED HEALTHCARE OF TN
TN0789170001Medicare NSC
TN3351893Medicare ID - Type UnspecifiedGROUP
TN3351893Medicaid
TN3351893Medicare PIN
U26211Medicare UPIN