Provider Demographics
NPI:1447312509
Name:DONESKY, BARRY WILLIAM (MD)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:WILLIAM
Last Name:DONESKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 21867
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37424-0867
Mailing Address - Country:US
Mailing Address - Phone:423-899-0500
Mailing Address - Fax:423-899-2411
Practice Address - Street 1:7407 ZIEGLER ROAD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3157
Practice Address - Country:US
Practice Address - Phone:423-899-0500
Practice Address - Fax:423-899-2411
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD025468207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN141932371OtherTAX IDENTIFICATION
TN74-40066OtherUNITED HEALTHCARE
TN3083889Medicaid
TN4111335OtherBLUE CROSS OF TENNESSEE