Provider Demographics
NPI:1275556805
Name:TURNAGE, RICHARD HAMPTON (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HAMPTON
Last Name:TURNAGE
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:DEPARTMENT OF SURGERY, 4301 W MARKHAM, SLOT 520
Mailing Address - Street 2:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-686-7874
Mailing Address - Fax:501-686-5696
Practice Address - Street 1:DEPARTMENT OF SURGERY, 4301 W MARKHAM, SLOT 520
Practice Address - Street 2:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-686-7874
Practice Address - Fax:501-686-5696
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA14454R208600000X
ARR4111208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1121568Medicaid
AR4N899Medicare PIN
LAB47105Medicare UPIN
LA4E277F610Medicare ID - Type Unspecified