Healthcare Provider Details

I. General information

NPI: 1013233626
Provider Name (Legal Business Name): SCOTT W CHAPMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 TIETON DR
YAKIMA WA
98902
US

IV. Provider business mailing address

2811 TIETON DR
YAKIMA WA
98902
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-8100
  • Fax:
Mailing address:
  • Phone: 509-575-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.099720
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD60361293
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: