Provider Demographics
NPI:1124067202
Name:TURNER, MARSHA JAYNE (MD)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:JAYNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:J
Other - Last Name:TURNER-MILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4343 ALL SEASONS DR
Practice Address - Street 2:STE 220
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1961
Practice Address - Country:US
Practice Address - Phone:614-754-4110
Practice Address - Fax:614-544-1101
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.004598207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0749408Medicaid
OHTU4035754Medicare PIN
OH0749408Medicaid