Provider Demographics
NPI:1114103942
Name:JOHN S. TURRISI, DPM
Entity Type:Organization
Organization Name:JOHN S. TURRISI, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:TURRISI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-373-7118
Mailing Address - Street 1:103 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-1692
Mailing Address - Country:US
Mailing Address - Phone:610-373-7118
Mailing Address - Fax:610-685-1078
Practice Address - Street 1:103 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1692
Practice Address - Country:US
Practice Address - Phone:610-373-7118
Practice Address - Fax:610-685-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003043-L213E00000X
332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01911301OtherCAPITAL BLUE CROSS
PA177294OtherUNITED HEALTHCARE COMMUNITY
PA542623OtherHIGHMARK BLUE SHIELD
PA20011026OtherAMERIHEALTH MERCY
PA00144734Medicaid
PA1552995OtherGATEWAY HEALTH PLAN
PA0846220001Medicare NSC