Basic Information
| Provider Information | |||||||||
| NPI: | 1437141900 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAPMAN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1390 S POTOMAC ST | ||||||||
| Address2: | SUITE 124 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800126165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033688611 | ||||||||
| FaxNumber: | 3033689791 | ||||||||
| Practice Location | |||||||||
| Address1: | 1390 S POTOMAC ST | ||||||||
| Address2: | SUITE 124 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800126165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033688611 | ||||||||
| FaxNumber: | 3033689791 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2005 | ||||||||
| LastUpdateDate: | 05/07/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0101X | 40528 | CO | Y | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery | 207N00000X | 40528 | CO | N | Allopathic & Osteopathic Physicians | Dermatology |
ID Information
| ID | Type | State | Issuer | Description | 79981712 | 05 | CO | MEDICAID |