Provider Demographics
NPI:1013911882
Name:STRANGE, DANNY J (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:J
Last Name:STRANGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38503-0938
Mailing Address - Country:US
Mailing Address - Phone:931-783-2334
Mailing Address - Fax:931-783-2253
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4294
Practice Address - Country:US
Practice Address - Phone:931-783-2334
Practice Address - Fax:931-783-2253
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24755207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3044524Medicaid
TN3086582Medicaid
TN3100064OtherBCBS OF TN
TN3086587Medicare PIN
TN3044524Medicaid
TN3086584Medicare PIN