Donald Boatright, Md., Pc
LBN: Donald Boatright, Md., Pc
Donald Boatright, Md., Pc is an health care organization with primary practice located at 607 W Due West Ave Ste 113 , Madison TN 37115-4428. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Donald Boatright, Md., Pc can be contacted via phone (615) 865-6269, or through Boatright, Donald Boatright J via phone (615) 865-6269.
Contact Information
Primary practice address
607 W Due West Ave Ste 113
Madison TN 37115-4428
Phone: (615) 865-6269
Fax: (651) 865-4169
Website:
Authorized official contact:
Name: Boatright, Donald Boatright J Doctor of Medicine (MD)
Phone: (615) 865-6269
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16522 | Tennessee |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 16522 | Tennessee |
Profile Details
| NPI number | 1568723088 |
|---|---|
| LBN Legal business name | Donald Boatright, Md., Pc |
| DBA Doing business as | |
| Authorized official | Boatright, Donald Boatright J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | May 31st, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568723088 | NPPES |
| Tennessee | MEDICAID | 4057165 | |
| Tennessee | MEDICAID | 4058614 | |
| Tennessee | Other | 2566732 | |
| Tennessee | MEDICAID | 4057158 | |
| Tennessee | Other | 4058614 | |
| Tennessee | Other | 7574554 |
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