Organization Active NPI

John Chapman LLC

Doing business as Teche Dermatologic Surgery Centre

  • MOHS-Micrographic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1790146223
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD.204848 Issued in LA
Legal business name
JOHN CHAPMAN LLC
Doing business as
Teche Dermatologic Surgery Centre
Practice address
101 Rue Fontaine BLDG 4
Lafayette, LA 70508-5744
Phone
(337) 385-5861
Fax
(337) 385-5862
NPI assigned
Mar 10, 2016
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Dr. John Charles Chapman, MDNPI 1437474772
Title
Ceo
Phone
(337) 385-5861

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X MD.32941 AL
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X MD.32941 AL
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X MD.204848 LA Primary

Addresses

Primary practice location

101 Rue Fontaine BLDG 4
Lafayette, LA 70508-5744

Mailing address

101 Rue Fontaine BLDG 4
Lafayette, LA 70508-5744
Phone (337) 385-5861

Other names 1

  • Teche Dermatologic Surgery Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160429000058 LA Part B Supplier - Clinic/Group Practice 4981903788 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA; Lafayette, LA; Thibodaux, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2173230John Chapman, LLC101 Rue Fontaine BLDG 4, Lafayette, LA 70508ComplianceJan 24, 2027

National Provider Directory

National Provider Directory

Locations

3355 Masonic Dr
Alexandria, LA 71301
Phone (318) 449-8600

301 E Kaliste Saloom Rd
Ste 400
Lafayette, LA 70508
Phone (337) 385-5861

121 Rue Louis Xiv
Bldg A
Lafayette, LA 70508

101 Rue Fontaine
Bldg 4
Lafayette, LA 70508
Phone (337) 385-5861

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1790146223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RUE FONTAINE BLDG 4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-385-5861",
            "fax_number": "337-385-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RUE FONTAINE BLDG 4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-385-5861",
            "fax_number": "337-385-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHAPMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-385-5861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.32941",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "MD.32941",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "LA",
            "license": "MD.204848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teche Dermatologic Surgery Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teche Dermatologic Surgery Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.