Basic Information
Provider Information
NPI: 1366485997
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: STEVEN
MiddleName: TERRY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 634706
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452630001
CountryCode: US
TelephoneNumber: 8652923000
FaxNumber:  
Practice Location
Address1: 391 WALLACE RD
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372114851
CountryCode: US
TelephoneNumber: 6157814000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2006
LastUpdateDate: 11/12/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD38733TNY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
P0018865301TNRAILROAD MEDICAREOTHER
389842705TN MEDICAID
408792701TNBLUECROSSOTHER
389842905TN MEDICAID
415152401TNBLUECROSSOTHER


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