NPIMap

Organization Active NPI

Donald J. Boatright MD., PC

  • Internal Medicine Physician
  • Springfield, TN
National Provider Identifier
1104187624
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16522 Issued in TN
Legal business name
DONALD J. BOATRIGHT MD., PC
Practice address
205 5TH Ave E
Springfield, TN 37172-2435
Phone
(615) 384-7580
Fax
(615) 384-0516
NPI assigned
May 31, 2012
Organization subpart
Yes
Parent organization
DONALD J. BOATRIGHT MD., PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Donald J. BoatrightNPI 1639363161
Title
Physician
Phone
(615) 865-8269

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 16522 TN Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 16522 TN

Addresses

Primary practice location

205 5TH Ave E
Springfield, TN 37172-2435

Mailing address

205 5TH Ave E
Springfield, TN 37172-2435
Phone (615) 384-7580

Other identifiers 7

IdentifierTypeStateIssuer
4057158OtherTNBCBS
4057158MedicaidTN
7574554OtherTNAETNA
2566732OtherTNCIGNA
4114694MedicaidTN
4057165MedicaidTN
4058614MedicaidTN

National Provider Directory

National Provider Directory
Part of
Donald Boatright MD PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1104187624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 5TH AVE E",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722435",
            "telephone_number": "615-384-7580",
            "fax_number": "615-384-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 5TH AVE E",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722435",
            "telephone_number": "615-384-7580",
            "fax_number": "615-384-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. BOATRIGHT MD., PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONALD J. BOATRIGHT MD., PC",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-865-8269"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "16522",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "16522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4057158",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4057158",
            "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"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114694",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4057165",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4058614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.