Healthcare Provider Details

I. General information

NPI: 1821529108
Provider Name (Legal Business Name): ANTHONY DAVON TURNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 W HIGH ST STE 207
LIMA OH
45801-3975
US

IV. Provider business mailing address

YALE NEW HAVEN HOSPITAL - 20 YORK STREET DEPT OF SURGERY
NEW HAVEN CT
06510-3220
US

V. Phone/Fax

Practice location:
  • Phone: 419-226-9182
  • Fax: 419-996-5090
Mailing address:
  • Phone: 203-688-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME166425
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35.152681
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: