Basic Information
| Provider Information | |||||||||
| NPI: | 1235161605 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | DAVIN | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5301 FARAON ST STE 120 | ||||||||
| Address2: | |||||||||
| City: | SAINT JOSEPH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 645063512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162711066 | ||||||||
| FaxNumber: | 8162716786 | ||||||||
| Practice Location | |||||||||
| Address1: | 5210 NORTH BELT HWY | ||||||||
| Address2: | |||||||||
| City: | SAINT JOSEPH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 645061211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162711330 | ||||||||
| FaxNumber: | 8162711333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 10/19/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 109399 | MO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0855328 | 01 | MO | AETNA | OTHER | 100236680A | 05 | KS | MEDICAID | 246807846 | 05 | MO | MEDICAID | 706328 | 01 | KS | BLUE CROSS BLUE SHIELD KS | OTHER | 10001084600 | 01 | MO | COMMUNITY HEALTH PLAN | OTHER | 283758 | 01 | MO | HEALTHLINK | OTHER | 22729013 | 01 | MO | BLUE CROSS BLUE SHIELD KC | OTHER |