Provider Demographics
NPI:1134112238
Name:TURNER, ROBERT C (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 TAYLOR STATION RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1445
Mailing Address - Country:US
Mailing Address - Phone:614-864-9666
Mailing Address - Fax:614-552-4632
Practice Address - Street 1:51 S SOUDER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1548
Practice Address - Country:US
Practice Address - Phone:614-464-3445
Practice Address - Fax:614-464-2005
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35037925207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0261283Medicaid
OH0584OtherNATIONWIDE
OH0900324OtherUHC
OH2514292OtherBCMH
OH4082989OtherAETNA
OH000000332393OtherANTHEM
OH200503812044OtherCARESOURCE
OH2514292OtherBCMH
OH0261283Medicaid