Provider Demographics
NPI:1164432001
Name:TURNER, SANDY DANIELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:SANDY
Middle Name:DANIELLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 NORTHPARKE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-1117
Mailing Address - Country:US
Mailing Address - Phone:937-390-2471
Mailing Address - Fax:937-390-2471
Practice Address - Street 1:211 NORTHPARKE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-1117
Practice Address - Country:US
Practice Address - Phone:937-390-2471
Practice Address - Fax:937-390-2471
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007818207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2446482Medicaid
OHP00280297OtherRAILROAD MEDICARE
OH2446482Medicaid
OHH98898Medicare UPIN