Provider Demographics
NPI:1437150042
Name:CHAMBERLAIN, JAMES MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARTIN
Last Name:CHAMBERLAIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:125 SHOREWAY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:QUEENSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21658-1666
Practice Address - Country:US
Practice Address - Phone:410-827-4001
Practice Address - Fax:410-827-4333
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2011-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0037064207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD100059OtherAETNA CAPITATED BN
MD100064OtherAETNA CAPITATED KI
MD351089-12OtherCAREFIRST MD RENDERING KI
MD835422OtherMAMSI PRIMARY CARE BN
MD1406209OtherCIGNA PIN
MD013200OtherJHHC PROVIDER NUMBER
MD2114468OtherMAMSI SPECIALIST KI
MD4567843OtherAETNA FEE FOR SERVICE
MDP11963OtherCAREFIRST MPOS
MD351089-01OtherCAREFIRST MD RENDERING BN
MD526171600Medicaid
MD7605-0042OtherCAREFIRST BLUECHOICE
MD80083145OtherRR MEDICARE BN
MD235422OtherMAMSI SPECIALIST BN
MD80083132OtherRR MEDICARE KI
MD8114468OtherMAMSI PRIMARY CARE
MD100064OtherAETNA CAPITATED KI
MD1406209OtherCIGNA PIN
MD235422OtherMAMSI SPECIALIST BN