Individual provider Active NPI

John Schiller Turner II, D.O.

  • Family Medicine Physician
  • Canton, TX
National Provider Identifier
1750306536
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7305 Issued in TX
Practice address
1108 So. Buffalo Street
Canton, TX 75103
Phone
(903) 567-1910
Fax
(903) 567-1940
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7305 TX Primary

Addresses

Primary practice location

1108 So. Buffalo Street
Canton, TX 75103

Mailing address

P.O. Box 788
Canton, TX 75103
Phone (903) 567-1910

Other identifiers 3

IdentifierTypeStateIssuer
091822903MedicaidTX
8S5836OtherTXBLUE CROSS
P00268741OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060105000181 TX Practitioner - General Practice 9234152240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dailey Medical ClinicGroup PAC ID 5991858243, 3 clinicians

Practice addresses (Care Compare)

1108 S Buffalo St
Canton, TX 75103-2304
Phone (903) 567-1910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7305TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dailey Medical Clinic Family Medicine CurrentSince Aug 12, 2020 Accepting new patients
Ekklesia Healthcare, L.L.C. Past Accepting new patients
Loh Ops Grand Saline Country Trails LLC Past Accepting new patients
Loh Ops Grand Saline LLC Past Accepting new patients
Dailey Medical Clinic Family Medicine PastSince Oct 4, 2020 Accepting new patients

Locations

1108 S Buffalo St
Canton, TX 75103
Phone (903) 567-1910

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1750306536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 788",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-567-1910",
            "fax_number": "903-567-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SO. BUFFALO STREET",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-567-1910",
            "fax_number": "903-567-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JOHN",
        "middle_name": "SCHILLER",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091822903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8S5836",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00268741",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

Verify at the official NPI Registry.