Active NPI
S. Chapa, M.D., Inc
- Specialist
- Brookville, PA
National Provider Identifier
1336250778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD038943L
- Legal business name
- S. CHAPA, M.D., INC
- Practice address
- 240 Allegheny Blvd Ste a
Brookville, PA 15825-2324 - Phone
- (814) 849-5151
- Fax
- (814) 849-9624
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sukumar M Chapa, M.D.
- Title
- President
- Phone
- (814) 849-5151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD038943L | PA | Primary |
Addresses
Primary practice location
240 Allegheny Blvd Ste a
Brookville, PA 15825-2324
Mailing address
240 Allegheny Blvd Ste a
Brookville, PA 15825-2324
Phone (814) 849-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008219620002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
240 Allegheny Blvd
Ste A
Brookville, PA 15825
Phone (814) 375-3890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1336250778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 ALLEGHENY BLVD STE A",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158252324",
"telephone_number": "814-849-5151",
"fax_number": "814-849-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 ALLEGHENY BLVD STE A",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158252324",
"telephone_number": "814-849-5151",
"fax_number": "814-849-9624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S. CHAPA, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "CHAPA",
"authorized_official_first_name": "SUKUMAR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-849-5151",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": "MD038943L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008219620002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.