MEDICARE: A. JOHN TURJOMAN LLC

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	261QR1300X	Rural Health Clinic/Center	35082095	OH
2	208000000X	Pediatrics Physician	35082095	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467702142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. JOHN TURJOMAN LLC

Provider Business Mailing Address
First Line	:	8930 OHIO RIVER RD
Second Line	:
City	:	WHEELERSBURG
State	:	OH
Zip	:	45694-1922
Country	:	US
Telephone Number	:	740-574-1903
Fax Number	:	740-574-0784

Provider Business Practice Location Address
First Line	:	8930 OHIO RIVER RD
Second Line	:
City	:	WHEELERSBURG
State	:	OH
Zip	:	45694-1922
Country	:	US
Telephone Number	:	740-574-1903
Fax Number	:	740-574-0784

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	MS. MICHELLE ANN HANCOCK
Credential	:
Telephone Number	:	515-528-8312

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	08/09/2021

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Directions to “A. JOHN TURJOMAN LLC ” Practice Location

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