NPIMap

Organization Active NPI

Hopewell Medical

  • Internal Medicine Physician
  • Clarksville, TN
National Provider Identifier
1073705745
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16522 Issued in TN
Legal business name
HOPEWELL MEDICAL
Practice address
114 Kraft St
Clarksville, TN 37040-4910
Phone
(931) 645-7866
Fax
(931) 645-7766
NPI assigned
Aug 15, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL NECESSITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald Joseph Boatright, M.D.NPI 1639363161
Title
Medical Director
Phone
(615) 828-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16522 TN Primary
Pain Medicine Physician 208VP0000X 16522 TN
Physical Therapist 225100000X 1864 TN

Addresses

Primary practice location

114 Kraft St
Clarksville, TN 37040-4910

Mailing address

114 Kraft St
Clarksville, TN 37040-4910
Phone (931) 645-7866

Other identifiers 4

IdentifierTypeStateIssuer
10080916OtherTNAMERIGROUP
4057165MedicaidTN
7574554OtherTNAETNA
2566732OtherTNCIGNA

National Provider Directory

National Provider Directory
Part of
Medical Necessities Inc

Locations

114 Kraft St
Clarksville, TN 37040
Phone (931) 645-7866

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073705745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 KRAFT ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404910",
            "telephone_number": "931-645-7866",
            "fax_number": "931-645-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KRAFT ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404910",
            "telephone_number": "931-645-7866",
            "fax_number": "931-645-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL NECESSITIES, INC.",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-828-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "16522",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "16522",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "1864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10080916",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4057165",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7574554",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2566732",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.