Provider Demographics
NPI:1730160037
Name:CHAPA, JEFF B (MD)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:B
Last Name:CHAPA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6770 MAYFIELD RD
Mailing Address - Street 2:SUITE 336
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-312-8888
Mailing Address - Fax:440-312-7725
Practice Address - Street 1:6770 MAYFIELD RD
Practice Address - Street 2:SUITE 336
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-312-8888
Practice Address - Fax:440-312-7725
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2011-09-08
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Provider Licenses
StateLicense IDTaxonomies
OH35075955207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1902827876OtherGROUP NPI
OH2508709Medicaid
2157366OtherGROUP MEDICAID
2157366OtherGROUP MEDICAID
OH2508709Medicaid