Basic Information
Provider Information
NPI: 1013249952
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: RYAN
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5350 FRANTZ RD
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164259
CountryCode: US
TelephoneNumber: 6145446366
FaxNumber: 6145446350
Practice Location
Address1: 111 S GRANT AVE FL 3
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432154701
CountryCode: US
TelephoneNumber: 6145668808
FaxNumber: 6145669503
Other Information
ProviderEnumerationDate: 02/03/2010
LastUpdateDate: 07/12/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN.308679OHN Nursing Service ProvidersRegistered Nurse 
367500000X11521NAOHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home