Provider Demographics
NPI:1801977939
Name:TURNER, RAYMOND SCOTT (MD,PHD)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:SCOTT
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 418283
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8283
Mailing Address - Country:US
Mailing Address - Phone:703-558-1544
Mailing Address - Fax:
Practice Address - Street 1:4000 RESERVOIR RD
Practice Address - Street 2:BUILDING D, SUITE 177
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20057-0001
Practice Address - Country:US
Practice Address - Phone:202-687-7337
Practice Address - Fax:202-684-4332
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010654582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3152919Medicaid
MIG11542Medicare UPIN
DC136703YTFMedicare PIN
MI3152919Medicaid