Active NPI
Thomas Ray Turnbaugh, M.D.
- Orthopaedic Surgery Physician
- Jefferson City, MO
National Provider Identifier
1851336192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MDR9C84
- Practice address
- 1616 Southridge Dr Ste 202
Jefferson City, MO 65109-5677 - Phone
- (573) 636-5450
- Fax
- (573) 636-7906
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MDR9C84 | MO | Primary |
Addresses
Primary practice location
1616 Southridge Dr Ste 202
Jefferson City, MO 65109-5677
Mailing address
1616 Southridge Dr Ste 202
Jefferson City, MO 65109-5677
Phone (573) 230-3631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201828548 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR9C84 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1851336192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 SOUTHRIDGE DR STE 202",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651095677",
"telephone_number": "573-230-3631",
"fax_number": "573-636-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 SOUTHRIDGE DR STE 202",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651095677",
"telephone_number": "573-636-5450",
"fax_number": "573-636-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNBAUGH",
"first_name": "THOMAS",
"middle_name": "RAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2019-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "MDR9C84",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201828548",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.