Provider Demographics
NPI:1164437695
Name:F. DAVID CHAMBERS, M.D. PA
Entity Type:Organization
Organization Name:F. DAVID CHAMBERS, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-866-2509
Mailing Address - Street 1:3 ROBINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-2832
Mailing Address - Country:US
Mailing Address - Phone:870-866-2509
Mailing Address - Fax:
Practice Address - Street 1:811 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-3006
Practice Address - Country:US
Practice Address - Phone:870-382-8261
Practice Address - Fax:870-382-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR110000353OtherMEDICARE RAILROAD #
AR101337001 INDIVIDUALMedicaid
AR135240000OtherQUAL CHOICE PROVIDER#
AR146304002 GROUP #Medicaid
AR146304002Medicaid
AR50958OtherBLUE CROSS BLUE SHIELD
AR5C411 (GROUP #)Medicare PIN
AR146304002 GROUP #Medicaid
AR50958Medicare PIN