Basic Information
Provider Information | |||||||||
NPI: | 1730169376 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | TURNER | ||||||||
FirstName: | WILLIAM | ||||||||
MiddleName: | JOHN DOWLING | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1222 S PATTERSON BLVD | ||||||||
Address2: | SUITE 400 | ||||||||
City: | DAYTON | ||||||||
State: | OH | ||||||||
PostalCode: | 454022684 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9374962620 | ||||||||
FaxNumber: | 9374962610 | ||||||||
Practice Location | |||||||||
Address1: | 1222 S PATTERSON BLVD | ||||||||
Address2: | SUITE 400 | ||||||||
City: | DAYTON | ||||||||
State: | OH | ||||||||
PostalCode: | 454022684 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9374962620 | ||||||||
FaxNumber: | 9374962610 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/19/2006 | ||||||||
LastUpdateDate: | 01/15/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 35074632 | OH | Y |   | Allopathic & Osteopathic Physicians | Otolaryngology |   |
ID Information
ID | Type | State | Issuer | Description | 2597296 | 01 |   | AETNA | OTHER | 311777214 | 01 |   | CIGNA | OTHER | 311777214 | 01 |   | GEHA | OTHER | 2061049 | 05 | OH |   | MEDICAID | 040016606 | 01 |   | MEDICARE RAILROAD | OTHER | 2061049 | 01 |   | BCMH | OTHER | 311777214 | 01 |   | BVR BDD | OTHER | 311777214 | 01 |   | CREATIVE HEALTH | OTHER | 311777214 | 01 |   | DIRECT CARE AMERICA | OTHER | 311777214 | 01 |   | HEALTH SERVICES PREFERRED | OTHER | 000000208771 | 01 |   | ANTHEM | OTHER | 1000504 | 01 |   | MEDICARE COMPLETE | OTHER | 1000562 | 01 |   | EVERCARE | OTHER | 311777214 | 01 |   | FIRST HEALTH | OTHER | 311777214029 | 01 |   | CARESOURCE | OTHER | 311777214 | 01 |   | AARP | OTHER | 311777214 | 01 |   | COVENANT FAMILY | OTHER |