Basic Information
| Provider Information | |||||||||
| NPI: | 1639363161 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOATRIGHT | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | JOSEPH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 131 FRENCH LANDING DR | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372281511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152549981 | ||||||||
| FaxNumber: | 6152549747 | ||||||||
| Practice Location | |||||||||
| Address1: | 131 FRENCH LANDING DR | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372281511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152549981 | ||||||||
| FaxNumber: | 6152549747 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2007 | ||||||||
| LastUpdateDate: | 10/15/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 16522 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 2566732 | 01 | TN | CIGNA | OTHER | 621688899 | 01 | TN | HEALTH SPRINGS | OTHER | 1507868 | 05 | TN | MEDICAID | 4058614 | 05 | TN | MEDICAID | 4330343 | 01 | TN | BCBS | OTHER | 621688899 | 01 | TN | WINDSOR MEDICARE | OTHER | 223894588 | 01 | TN | WINDSOR | OTHER | 7574554 | 01 | TN | AETNA | OTHER | 10080916 | 01 | TN | AMERIGROUP | OTHER | 223894588 | 01 | TN | AMERICHOICE | OTHER | 4057158 | 05 | TN | MEDICAID | 621688899 | 01 | TN | AMERICHOICE | OTHER | 4057165 | 05 | TN | MEDICAID | P01080155 | 01 | TN | RR MEDICARE | OTHER | 223894588 | 01 | TN | HEALTH SPRINGS | OTHER | 4114694 | 05 | TN | MEDICAID |