Provider Demographics
NPI:1558335174
Name:CHAPMAN, ALLA GRIGOREVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLA
Middle Name:GRIGOREVNA
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HALL DR
Mailing Address - Street 2:AMHERST MEDICAL CENTER
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2751
Mailing Address - Country:US
Mailing Address - Phone:413-256-8561
Mailing Address - Fax:866-644-0869
Practice Address - Street 1:31 HALL DR
Practice Address - Street 2:AMHERST MEDICAL CENTER
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2751
Practice Address - Country:US
Practice Address - Phone:413-256-8561
Practice Address - Fax:866-644-0869
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424877207Q00000X
NY233177-1207Q00000X
MA264105207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02581464Medicaid
PACC9269OtherRR MEDICARE GROUP
PAGU039851OtherMEDICARE GROUP
NYCC8362OtherRR MEDICARE GROUP
NYP00199107OtherRR MEDICARE PIN
PAP00413975OtherRR MEDICARE PIN
NY02581464Medicaid
NYRA4047Medicare PIN
PA1011726930001Medicare PIN