MEDICARE: DR. GLEN A TURNER MD

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	174400000X	Specialist	37479	KY
2	207RP1001X	Pulmonary Disease Physician	37479	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	P00935621	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	021036000	OTHER	FEDERAL BLACK LUNG
2	3048114	OTHER	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	50005341	OTHER	PASSPORT
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	310674100	OTHER	US DEPT OF LABOR
7	000000296901	OTHER	ANTHEM
8	4820116	OTHER	UNITED HEALTHCARE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427094614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLEN A TURNER MD

Provider Business Mailing Address
First Line	:	PO BOX 635283
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-5283
Country	:	US
Telephone Number	:	859-757-2927
Fax Number	:	859-341-0203

Provider Business Practice Location Address
First Line	:	651 CENTRE VIEW BLVD
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5423
Country	:	US
Telephone Number	:	859-757-2927
Fax Number	:	859-341-0203

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	09/13/2018

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Directions to “ DR. GLEN A TURNER MD” Practice Location

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