Provider Demographics
NPI:1982795688
Name:TURNICKY, RONALD P (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:P
Last Name:TURNICKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MEDICAL CENTER CIR STE 309
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2273
Mailing Address - Country:US
Mailing Address - Phone:540-332-5885
Mailing Address - Fax:540-332-5888
Practice Address - Street 1:70 MEDICAL CENTER CIR STE 309
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2273
Practice Address - Country:US
Practice Address - Phone:540-332-5885
Practice Address - Fax:540-332-5888
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV1825207ZH0000X
WV1825207ZP0102X
VA0102050262207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2001090000Medicare ID - Type Unspecified
VAVAA100918Medicare PIN
G60951Medicare UPIN
VAVAA100525Medicare PIN