Active NPI
Immanuel Israel Turner IV, MD
- Pediatric Cardiology Physician
- Denver, CO
National Provider Identifier
1912165168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- DR.0066823
- Practice address
- 2055 N High St Ste 260
Denver, CO 80205-5575 - Phone
- (720) 475-8730
- Fax
- (303) 832-7297
- NPI assigned
- May 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME130689 | FL | |
| Pediatric Cardiology Physician | 2080P0202X | DR.0066823 | CO | Primary |
Addresses
Primary practice location
2055 N High St Ste 260
Denver, CO 80205-5575
Mailing address
2055 N High St Ste 260
Denver, CO 80205-5575
Phone (720) 475-8730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000199347 | Medicaid | CO |
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
Interoperability endpoints
- iturner161725@mhsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1912165168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N HIGH ST STE 260",
"city": "DENVER",
"state": "CO",
"postal_code": "802055575",
"telephone_number": "720-475-8730",
"fax_number": "303-832-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N HIGH ST STE 260",
"city": "DENVER",
"state": "CO",
"postal_code": "802055575",
"telephone_number": "720-475-8730",
"fax_number": "303-832-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "IMMANUEL",
"middle_name": "ISRAEL",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME130689",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CO",
"license": "DR.0066823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000199347",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.