Physician Compare National (NPI:1649378530)

HEALTHCARE PROVIDER: J RANDALL RAUH MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649378530
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638071913
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040611001279
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAUH
	Individual professional last name
Provider First Name	J
	Individual professional first name
Provider Middle Name	RANDALL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	330 ROGER LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4
	Group Practice or individual's line 2 address
City	MILES CITY
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	593019239
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	270004
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BILLINGS CLINIC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	271310
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GARFIELD COUNTY HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	271347
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOLY ROSARY HEALTHCARE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	271327
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ROSEBUD HEALTH CARE CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	271332
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GLENDIVE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1649378530)

HEALTHCARE PROVIDER: J RANDALL RAUH MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information