Healthcare Provider Details

I. General information

NPI: 1124030002
Provider Name (Legal Business Name): JAMES B CHAPMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 12/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E 13TH ST SUITE 200
GROVE OK
74344-2975
US

IV. Provider business mailing address

900 E 13TH ST SUITE 200
GROVE OK
74344-2975
US

V. Phone/Fax

Practice location:
  • Phone: 918-592-0999
  • Fax: 918-592-1021
Mailing address:
  • Phone: 918-592-0999
  • Fax: 918-592-1021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number29613
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: