Organization Active NPI

Donald H. Deaton, DO

  • Family Medicine Physician
  • Tazewell, TN
National Provider Identifier
1942695358
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
784 Issued in TN
Legal business name
DONALD H. DEATON, DO
Practice address
1601 Tazewell Rd
Tazewell, TN 37879-3609
Phone
(865) 278-4074
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Dr. Donald H Deaton Jr., DO
Title
Physician
Phone
(865) 278-4074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 784 TN Primary

Addresses

Primary practice location

1601 Tazewell Rd
Tazewell, TN 37879-3609

Mailing address

PO Box 473
Harrogate, TN 37752-0473
Phone (865) 278-4074

Other identifiers 1

IdentifierTypeStateIssuer
1512317MedicaidTN

National Provider Directory

National Provider Directory

Locations

1601 Tazewell Rd
Tazewell, TN 37879
Phone (865) 278-4074

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1942695358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520473",
            "telephone_number": "865-278-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TAZEWELL RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793609",
            "telephone_number": "865-278-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H. DEATON, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "865-278-4074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512317",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.