Physician Compare National (NPI:1851385108)

HEALTHCARE PROVIDER: RANDY LEE DENTON JR. M.D.

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

Individual Professional Information
NPI	1851385108
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082739362
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100909000643
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DENTON
	Individual professional last name
Provider First Name	RANDY
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1855 TANNER WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	HARRIMAN
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	377488331
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8653766272
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROANE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440173
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PARKWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y