Provider Demographics
NPI:1134192610
Name:CHAPIS, GREGORY JOHN (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:JOHN
Last Name:CHAPIS
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 1:1603 E HIGH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5061
Mailing Address - Country:US
Mailing Address - Phone:610-970-4700
Mailing Address - Fax:610-970-5635
Practice Address - Street 1:1603 E HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5061
Practice Address - Country:US
Practice Address - Phone:610-970-4700
Practice Address - Fax:610-970-5635
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041902L208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015550380008Medicaid
PAF83122Medicare UPIN
PA777649MWAMedicare PIN
PA0015550380008Medicaid