Provider Demographics
NPI:1477755411
Name:MARINELA L TURC MD LLC
Entity Type:Organization
Organization Name:MARINELA L TURC MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARINELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-953-3979
Mailing Address - Street 1:36100 EUCLID AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4476
Mailing Address - Country:US
Mailing Address - Phone:440-953-3979
Mailing Address - Fax:
Practice Address - Street 1:36100 EUCLID AVE STE 290
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4476
Practice Address - Country:US
Practice Address - Phone:440-953-3979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076044207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2138136Medicaid
OH0117282Medicaid
OHHO3158Medicare UPIN
OH9333761Medicare PIN