Provider Demographics
NPI:1639363161
Name:BOATRIGHT, DONALD JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:JOSEPH
Last Name:BOATRIGHT
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 1:131 FRENCH LANDING DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1511
Mailing Address - Country:US
Mailing Address - Phone:615-254-9981
Mailing Address - Fax:615-254-9747
Practice Address - Street 1:131 FRENCH LANDING DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1511
Practice Address - Country:US
Practice Address - Phone:615-254-9981
Practice Address - Fax:615-254-9747
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16522207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2566732OtherCIGNA
TN621688899OtherHEALTH SPRINGS
TN1507868Medicaid
TN4058614Medicaid
TN4330343OtherBCBS
TN621688899OtherWINDSOR MEDICARE
TN223894588OtherWINDSOR
TN7574554OtherAETNA
TN10080916OtherAMERIGROUP
TN223894588OtherAMERICHOICE
TN4057158Medicaid
TN621688899OtherAMERICHOICE
TN4057165Medicaid
TNP01080155OtherRR MEDICARE
TN223894588OtherHEALTH SPRINGS
TN4114694Medicaid
TN103I110279Medicare PIN
TN3370319Medicare PIN
TN4057165Medicaid
TN3887291Medicare PIN