Provider Demographics
NPI:1487607610
Name:CHAPMAN, DARREN CRAIG (MD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:CRAIG
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CLINIC DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-1661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-1658
Practice Address - Country:US
Practice Address - Phone:270-326-4800
Practice Address - Fax:270-326-4820
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22311208600000X
KY26871208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00387007OtherMEDICARE RAILROAD
KY7100063640Medicaid
SC223116Medicaid
KY000000593670OtherANTHEM BCBS
KY00280095Medicare PIN
KY0684430Medicare PIN
GAP00387007OtherMEDICARE RAILROAD
KY7100063640Medicaid
KYP00724576Medicare PIN
SC223116Medicaid
SC8688Medicare PIN