Healthcare Provider Details

I. General information

NPI: 1740253913
Provider Name (Legal Business Name): JOHN NORWOOD CHAPMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RICE ST
WILMORE KY
40390-1359
US

IV. Provider business mailing address

PO BOX 73652
CLEVELAND OH
44193-0002
US

V. Phone/Fax

Practice location:
  • Phone: 859-858-9355
  • Fax: 859-858-0416
Mailing address:
  • Phone: 606-330-3404
  • Fax: 606-330-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD0000034017
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMS16168
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number38769
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: