1578526380 NPI number — DR. CATHERINE R SPRATT TURNER DO

Table of content: DR. CATHERINE R SPRATT TURNER DO (NPI 1578526380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578526380 NPI number — DR. CATHERINE R SPRATT TURNER DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SPRATT TURNER
Provider First Name:
CATHERINE
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578526380
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/08/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
638 NEWTOWN YARDLEY RD
Provider Second Line Business Mailing Address:
SUITE 2E
Provider Business Mailing Address City Name:
NEWTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18940-1758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-968-1616
Provider Business Mailing Address Fax Number:
215-860-1976

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
638 NEWTOWN YARDLEY RD
Provider Second Line Business Practice Location Address:
SUITE 2E
Provider Business Practice Location Address City Name:
NEWTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18940-1758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-968-1616
Provider Business Practice Location Address Fax Number:
215-860-1976
Provider Enumeration Date:
04/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  OS-006923-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 049809000 . This is a "IBC PIN#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1577525 . This is a "HIGHMARK GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0016047310002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2259032001 . This is a "IBC GROUP PROVIDER NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 665612 . This is a "HIGHMARK PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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