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MR. MICHAEL DAHYL BOGGAN M.D.
NPI 1003844812
General Practice in Kingsport, TN

Active since June 29, 2006
111 W STONE DR, SUITE 100, KINGSPORT, TN 37660(423) 247-5197(423) 247-5254 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Dahyl Boggan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL DAHYL BOGGAN M.D. (NPI 1003844812) is an individual general practice provider in Kingsport, Tennessee, licensed in Tennessee (21139) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1003844812
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. MICHAEL DAHYL BOGGANCredential: M.D.
Location Address111 W STONE DR, SUITE 100Kingsport, TN 37660-6027
Mailing Address111 W Stone Dr, Suite 100Kingsport, TN 37660-6027 · (423) 245-5197 · Fax (423) 247-5254
Phone(423) 247-5197
Fax(423) 247-5254
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 6, 2012
✔ NPI 1003844812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in TN · 21139✔ Licensed in VA · 0101246769
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
111 W STONE DR, Kingsport, TN 37660
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Other Identifiers 19

Medicaid010199743VA
Medicaid3057903TN
Medicare PINP00195517GA
Medicare PIN103I933185TN
Medicare PINC05950VA
Medicare PINVAA101322VA
Medicare PIN3057903TN
MedicaidP00262488KY
Medicaid65906208KY
Medicare PIN3700107TN
Medicaid1000908TN
Medicare PIN103I332924TN
Medicare PINV V3877BVA
Medicare PINV V3877AVA
OtherZ101TN · United Healthcare Of The River Valley
Medicare PIN103G477120TN
Medicare PIN3287305TN
Other621112685TN · United Health Care
Medicare UPIND64913TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY J FOSTER M.D.
Internal Medicine (Pulmonary Disease)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
PULMONARY ASSOCIATES OF KINGSPORT
Specialist
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
KATHRYN A. HARRIS NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
MORGAN A. CABELL NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 110
KINGSPORT, TN 37660
Sullivan County (423) 224-3701
LUCINDA MILLER M.D.
Internal Medicine (Pulmonary Disease)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
KAYLA J JOYCE NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 110
KINGSPORT, TN 37660
Sullivan County (423) 224-3701
NEKISHA S. JOHNSON NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
KINGSPORT BRONCHOSCOPY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Boggan's NPI number?

The NPI number for Michael Boggan is 1003844812. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Michael Boggan located?

Michael Boggan practices at 111 W Stone Dr Suite 100, Kingsport, TN 37660. The listed phone number is (423) 247-5197.

What is Michael Boggan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Michael Boggan was last updated on August 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.