Provider Demographics
NPI:1881860872
Name:PAUL TURRISI
Entity Type:Organization
Organization Name:PAUL TURRISI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TURRISI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-373-7110
Mailing Address - Street 1:560 VAN REED RD
Mailing Address - Street 2:STE 208
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1799
Mailing Address - Country:US
Mailing Address - Phone:610-373-7110
Mailing Address - Fax:610-373-7160
Practice Address - Street 1:2000 STATE HILL RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1608
Practice Address - Country:US
Practice Address - Phone:610-373-7110
Practice Address - Fax:610-373-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002913L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1818341OtherHIGHMARK BLUE SHIELD
PA1881860872OtherORGANIZATIONAL NPI
PA213E00000XOtherTAXONOMY
PA001146485 0002Medicaid
02340600OtherCAPITAL BLUE CROSS CAIC
PA1818341OtherHIGHMARK BLUE SHIELD
02340600OtherCAPITAL BLUE CROSS CAIC