Provider Demographics
NPI:1598726440
Name:CHAPPELL, JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:CHAPPELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 E HARVARD AVE
Mailing Address - Street 2:STE 405
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5077
Mailing Address - Country:US
Mailing Address - Phone:303-722-4683
Mailing Address - Fax:303-778-0726
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:STE 405
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5077
Practice Address - Country:US
Practice Address - Phone:303-722-4683
Practice Address - Fax:303-778-0726
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36056174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04181841Medicaid
COC17551Medicare PIN
COG20115Medicare UPIN