Provider Demographics
NPI:1730347022
Name:CHAPPO, JOHN MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:CHAPPO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9485 HUNT CLUB RD
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8451
Mailing Address - Country:US
Mailing Address - Phone:317-246-0896
Mailing Address - Fax:888-313-5560
Practice Address - Street 1:9485 HUNT CLUB RD
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8451
Practice Address - Country:US
Practice Address - Phone:317-246-0896
Practice Address - Fax:888-313-5560
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02003401A208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200932120Medicaid
IN200311740HOtherMEDICAID GRP#/LOCATION HPN
205110VVOtherINDIVIDUAL MCR# HPN
000000635913OtherANTHEM PIN# HPN
000000635913OtherANTHEM PIN# HPN