Provider Demographics
NPI:1912178468
Name:DONALD R BARNETT, MD PC
Entity Type:Organization
Organization Name:DONALD R BARNETT, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STREET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-329-4001
Mailing Address - Street 1:210 23RD AVE N
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1580
Mailing Address - Country:US
Mailing Address - Phone:615-329-4001
Mailing Address - Fax:615-329-3858
Practice Address - Street 1:210 23RD AVE N
Practice Address - Street 2:SUITE 302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1580
Practice Address - Country:US
Practice Address - Phone:615-329-4001
Practice Address - Fax:615-329-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000008875174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3164774Medicare UPIN