Provider Demographics
NPI:1235245101
Name:STEPHEN J CHAPMAN DPM D/B/A FAMILY FOOT CENTER
Entity Type:Organization
Organization Name:STEPHEN J CHAPMAN DPM D/B/A FAMILY FOOT CENTER
Other - Org Name:FAMILY FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:931-528-1331
Mailing Address - Street 1:120 WALNUT COMMONS LANE
Mailing Address - Street 2:SUITE A
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-6037
Mailing Address - Country:US
Mailing Address - Phone:931-528-1331
Mailing Address - Fax:931-528-6893
Practice Address - Street 1:120 WALNUT COMMONS LANE
Practice Address - Street 2:SUITE A
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501
Practice Address - Country:US
Practice Address - Phone:931-528-1331
Practice Address - Fax:931-528-6893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM0000000352213ES0103X
213EP1101X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Multi-Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3351893Medicaid
TNCJ4133OtherMEDICARE RAILROAD GROUP
TN8069619OtherCIGNA HEALTH CARE INS
TN480014986OtherMEDICARE RAILROAD
TN0084212OtherBLUE CROSS BLUE SHIELD
TN368623135OtherTRICARE
TN368623135OtherTRICARE
TN8069619OtherCIGNA HEALTH CARE INS