MEDICARE: DR. THOMAS E CHAPPELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0035135	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110104230	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	W3990002	OTHER	BCBS FEDERAL
3	1040111862	OTHER	CIGNA
4	4901196	OTHER	UNITED HEALTHCARE
5	839630	OTHER	MDIPA / OPTIMUM CHOICE
6	P11317	OTHER	BCBS POS-PRIMARY
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	401491-01	OTHER	BCBS POS

General Provider Information

NPI Number	:	1558364927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E CHAPPELL MD

Provider Business Mailing Address
First Line	:	912 SETON DR
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-1818
Country	:	US
Telephone Number	:	301-722-3111
Fax Number	:	301-722-5135

Provider Business Practice Location Address
First Line	:	912 SETON DR
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-1818
Country	:	US
Telephone Number	:	301-722-3111
Fax Number	:	301-722-5135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	02/04/2013

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Directions to “ DR. THOMAS E CHAPPELL MD” Practice Location

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