=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619943123
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD R BARNETT MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2006
-----------------------------------------------------
Last Update Date | 09/30/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 210 23RD AVE N SUITE 302
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37203-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-329-4001
-----------------------------------------------------
Fax | 615-329-3858
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 210 23RD AVE N SUITE 302
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37203-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-329-4001
-----------------------------------------------------
Fax | 615-329-3858
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MD0000008875
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 8875
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------