Basic Information
| Provider Information | |||||||||
| NPI: | 1134112238 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 259 TAYLOR STATION RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432131445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148649666 | ||||||||
| FaxNumber: | 6145524632 | ||||||||
| Practice Location | |||||||||
| Address1: | 51 S SOUDER AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432221548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144643445 | ||||||||
| FaxNumber: | 6144642005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2005 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 35037925 | OH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0261283 | 05 | OH | MEDICAID | 0584 | 01 | OH | NATIONWIDE | OTHER | 0900324 | 01 | OH | UHC | OTHER | 2514292 | 01 | OH | BCMH | OTHER | 4082989 | 01 | OH | AETNA | OTHER | 000000332393 | 01 | OH | ANTHEM | OTHER | 200503812044 | 01 | OH | CARESOURCE | OTHER |