Richard James Chamberlain III, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

22292 Issued in AZ

Practice address

4250 E. Camelback Road
Suite K200
Phoenix, AZ 85018-8388

Phone

(602) 977-0136

Fax

(602) 977-0758

NPI assigned

Mar 24, 2006

Last updated

Feb 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3025/brand/1/csg/1/fhir/r4

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.

• Arrow Surgical Associates, P.C

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1306043443
  NPD (past)
• Widmaier Chiropractic

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1205187689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1487614277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 E. CAMELBACK ROAD",
            "address_2": "SUITE K200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188388",
            "telephone_number": "602-977-0136",
            "fax_number": "602-977-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 E. CAMELBACK ROAD",
            "address_2": "SUITE K200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188388",
            "telephone_number": "602-977-0136",
            "fax_number": "602-977-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "22292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00116209",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314914",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Chaly Jr., M.D.
• Ruth A Chama, LPN
• Chiraz Chamas
• Chamberlain Dental, PLLC (HiFi Dental)
• Kayla Chamberlain, LPC
• Susan Anne Chamberlain, MA.ED
• Andrew Chambers, ND
• Caroline Joan Chambers
• Claudia Suzette Chambers, M.D.
• Courtney Chambers, RN

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.