Individual provider Active NPI

Paul McTurk, D.O.

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1710029582
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11956 Issued in FL
Practice address
3817 Scarborough CT
Clermont, FL 34711-6982
Phone
(630) 280-9701
Fax
(352) 536-8141
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036113686 IL
Family Medicine Physician 207Q00000X 02002897A IN
Family Medicine Physician 207Q00000X OS11956 FL Primary

Addresses

Primary practice location

3817 Scarborough CT
Clermont, FL 34711-6982

Mailing address

3817 Scarborough CT
Clermont, FL 34711-6982
Phone (630) 280-9701

Other identifiers 1

IdentifierTypeStateIssuer
OS11956OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20130927000079 FL Practitioner - Family Practice 3577504851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3817 Scarborough CT
Clermont, FL 34711-6982
Phone (630) 280-9701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11956FLMDFamily Medicine Physician
02002897AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul McTurk LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Mar 17, 2022 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Mar 17, 2022 Accepting new patients
Bonaventure Medical Foundation, LLC Family Medicine PastSince Apr 1, 2009 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family Medicine Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

550 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-2273

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

Organizations & group practices 5

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1710029582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 SCARBOROUGH CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116982",
            "telephone_number": "630-280-9701",
            "fax_number": "352-536-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 SCARBOROUGH CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116982",
            "telephone_number": "630-280-9701",
            "fax_number": "352-536-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTURK",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036113686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002897A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS11956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.