Basic Information
| Provider Information | |||||||||
| NPI: | 1336140110 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DOUGLAS F. TURTZO M.D. P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 S SCHANCK AVE | ||||||||
| Address2: | |||||||||
| City: | PEN ARGYL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180721697 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108639059 | ||||||||
| FaxNumber: | 6108631995 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 S SCHANCK AVE | ||||||||
| Address2: | |||||||||
| City: | PEN ARGYL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180721697 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108639059 | ||||||||
| FaxNumber: | 6108631995 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | TURTZO | ||||||||
| AuthorizedOfficialFirstName: | DOUGLAS | ||||||||
| AuthorizedOfficialMiddleName: | FLOUHLIH | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6108609059 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02358000 | 01 | CAPITAL BC | OTHER | 137063 | 01 | HIGHMARKS BS | OTHER |