Organization Active NPI

Petar Turcinovic MD PA

  • Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1134380413
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L4369 Issued in TX
Legal business name
PETAR TURCINOVIC MD PA
Practice address
9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279
Phone
(281) 419-8400
Fax
(281) 292-1972
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Petar Turcinovic, MDNPI 1063404689
Title
President
Phone
(281) 419-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L4369 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279

Mailing address

9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279
Phone (281) 419-8400

Other identifiers 1

IdentifierTypeStateIssuer
P000947D3MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1134380413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "SUITE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "SUITE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAR TURCINOVIC MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "TURCINOVIC",
        "authorized_official_first_name": "PETAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-419-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L4369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000947D3",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.