Active NPI
Melissa Ann Chapman, DO
- Family Medicine Physician
- Beckley, WV
National Provider Identifier
1073689923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1811
- Practice address
- 102 Reservation Avenue
Beckley, WV 25801 - Phone
- (304) 929-7677
- NPI assigned
- Nov 24, 2006
- Last updated
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1811 | WV | Primary |
Addresses
Primary practice location
102 Reservation Avenue
Beckley, WV 25801
Mailing address
PO Box 972
Beckley, WV 25802-0972
Phone (304) 929-7677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MESP05281 | Other | WV | MEDICARE SOLE PROP. PIN |
| 1809819000 | Medicaid | WV |
Other names 1
- Melissa Ann Muovich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040326001036 | WV | Practitioner - Family Practice | 6204728942 | Practice locations: Beckley, WV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1811 | WV | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa a. Chapman, D.O. | Past | Accepting new patients |
Interoperability endpoints
- melissa.chapman@wvafn.hcadirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1073689923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 972",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258020972",
"telephone_number": "304-929-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RESERVATION AVENUE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-929-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SOLE PROP. PIN",
"identifier": "MESP05281",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1809819000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MUOVICH",
"middle_name": "ANN",
"credential": "MD DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.