Provider Demographics
NPI:1487655718
Name:TURRISI, JOHN SAMUEL (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SAMUEL
Last Name:TURRISI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-1692
Mailing Address - Country:US
Mailing Address - Phone:610-373-7118
Mailing Address - Fax:610-685-1078
Practice Address - Street 1:103 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1692
Practice Address - Country:US
Practice Address - Phone:610-373-7118
Practice Address - Fax:610-685-1078
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003043L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA480006870OtherRAILROAD MEDICARE
PA20011026OtherAMERIHEALTH MERCY
PA00144734Medicaid
PA01911301OtherCAPITAL BLUE CROSS
PA542623OtherHIGHMARK BLUE SHIELD
PA542623OtherHIGHMARK BLUE SHIELD
PA542623Medicare PIN