MEDICARE: MR. JAMES WILLIAM TURNER III

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1396584819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES WILLIAM TURNER III

Provider Business Mailing Address
First Line	:	7850 PETER HOOVER RD
Second Line	:
City	:	NEW ALBANY
State	:	OH
Zip	:	43054-9723
Country	:	US
Telephone Number	:	614-290-2637
Fax Number	:	740-879-0932

Provider Business Practice Location Address
First Line	:	2646 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-3329
Country	:	US
Telephone Number	:	614-290-2637
Fax Number	:	740-879-0932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/19/2026

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