Omar A Turk

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301080768 Issued in MI

Practice address

4190 24TH Ave
Suite 210
Fort Gratiot, MI 48059

Phone

(810) 216-1901

Fax

(810) 216-1701

NPI assigned

Mar 14, 2006

Last updated

Jan 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosleep Center PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fort Gratiot, MI
  • NPI 1114029030
  Medicare reassignment NPD Authorized official
• Marwan Shuayto MD PC

  dba Blue Water Open MRI

  • Neurology Physician
  • Port Huron, MI
  • NPI 1578819850
  Medicare reassignment NPD
• Neurosleep, Inc

  • Neurology Physician
  • Toledo, OH
  • NPI 1972660165
  NPD (past) Authorized official
• House Calls Physicians PLLC

  • Home Health Agency
  • Allen Park, MI
  • NPI 1033273008
  NPD (past)
• Medical Visiting Physicians PLLC

  • Home Health Agency
  • Detroit, MI
  • NPI 1710168992
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1407824634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 24TH AVE",
            "address_2": "STE # 210",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593882",
            "telephone_number": "810-216-1901",
            "fax_number": "810-216-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 24TH AVE",
            "address_2": "SUITE 210",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "48059",
            "telephone_number": "810-216-1901",
            "fax_number": "810-216-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURK",
        "first_name": "OMAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301080768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000391367",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "1308205442",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2650715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Tourjee, D.C.
• Breanna Jean Tovarez, CNA
• Emily Beth Trahan, M.A., LLPC
• Trinity Continuing Care Services (Mercy Village)
• Joseph Thomas Truske, DDS PC
• Makenzie Turner, RPH
• Chelsea Ann Urbano
• Usv Optical Inc.
• Usv Optical, Inc. (Meijer Optical)
• Valcor Dental Center PC (Birchwood Family Dental)

• Neurology Physician in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.