MEDICARE: DR. DONALD RAY SLEETER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	37588	TN
2	207P00000X	Emergency Medicine Physician	37588	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00282925	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4068270	OTHER	TN	BC BS

General Provider Information

NPI Number	:	1023055563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD RAY SLEETER MD

Provider Business Mailing Address
First Line	:	2348 W ANDREW JOHNSON HWY STE 186
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3208
Country	:	US
Telephone Number	:	423-437-3133
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 HOSPITAL DR
Second Line	:
City	:	JEFFERSON CITY
State	:	TN
Zip	:	37760-5282
Country	:	US
Telephone Number	:	865-471-2500
Fax Number	:	865-471-2450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	02/07/2024

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