Christopher Chapman
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH
NPI 1124525951 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1124525951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Medical Dr Dept of
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Oregon Health Sciences University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-Columbia Medical Center
Providence Health and Services - Oregon
Practice addresses (Care Compare)
1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-1111
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213
Hospital & facility affiliations
- Providence St Vincent Medical Center
- Providence Hood River Memorial Hospital
- Mid-Columbia Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210903001047 | OR | Practitioner - Emergency Medicine | 2062769227 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current |
Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Medical Dr Dept of
Lebanon, NH 03756-1000
Mailing address
1 Medical Dr Dept of
Lebanon, NH 03756-1000
NPI Registry JSON
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1124525951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL DR DEPT OF",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL DR DEPT OF",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
- Gerard Chang
- Robert Won-Kee Chang
- Change With More Ease LLC
- Serena H Chao
- Lucy F Chapin
- Daniel S Chapman
- Michael Shane Chapman
- Steven H. Chapman
- Maya Charan
- Christopher Charles
All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.