Provider Demographics
NPI:1790703270
Name:CHAPMAN, WILLIAM CAVANAUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CAVANAUGH
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-747-9889
Mailing Address - Fax:314-361-4197
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV SURG TRANSPLANT, STE 12B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-747-9889
Practice Address - Fax:314-361-4197
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20020078822086S0102X, 2086X0206X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO206660516Medicaid
MO206660516Medicaid
MO106010181Medicare PIN
MO020051734Medicare PIN