Provider Demographics
NPI:1699775585
Name:CHIPKIN, STUART ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ROSS
Last Name:CHIPKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:31 HALL DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002
Mailing Address - Country:US
Mailing Address - Phone:413-256-8561
Mailing Address - Fax:866-644-0869
Practice Address - Street 1:31 HALL DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2751
Practice Address - Country:US
Practice Address - Phone:413-256-8561
Practice Address - Fax:866-644-0869
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52718207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6178839Medicaid
MA00000415784OtherUNITED HEALTH CARE
MA052718OtherTUFTS
MAAA21834LOtherHARVARD PILGRIM HEALTH CARE
MA7698912OtherCIGNA
MAJ03386OtherBLUE CROSS & BLUE SHIELD
MA000000029428OtherBMC
MA484718OtherCONNECTICARE
MA5581453OtherAETNA
MA49115OtherFALLON
MA23581OtherHNE
MAJ0338601Medicare PIN
MA000000029428OtherBMC
MA23581OtherHNE