Provider Demographics
NPI:1356334643
Name:TURNER, ELSIE LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:LEWIS
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13415 CONNECTICUT AVE
Mailing Address - Street 2:#105
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2910
Mailing Address - Country:US
Mailing Address - Phone:301-871-1228
Mailing Address - Fax:301-871-1844
Practice Address - Street 1:13415 CONNECTICUT AVE
Practice Address - Street 2:#105
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2910
Practice Address - Country:US
Practice Address - Phone:301-871-1228
Practice Address - Fax:301-871-1844
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD382332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B7730008OtherCARE FIRST BLUE SHIELD
H670OtherCARE FIRST BLUE SHIELD
MD177171000Medicaid
B4290001OtherBLUESHIELD NCA
MD970040400Medicaid
MD8466OtherBLUE SHIELD MD
MD179441Medicare PIN
B7730008OtherCARE FIRST BLUE SHIELD
B4290001OtherBLUESHIELD NCA
MD8466OtherBLUE SHIELD MD
F05812Medicare UPIN
MD177171000Medicaid