Individual provider Active NPI

Igor Gene Turok, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Wallingford, CT
National Provider Identifier
1972575801
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
045712 Issued in CT
Practice address
67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3095
Phone
(203) 626-9080
Fax
(203) 626-9074
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 237889 NY
Interventional Pain Medicine Physician 208VP0014X 045712 CT
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 045712 CT Primary

Addresses

Primary practice location

67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3095

Mailing address

67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3095
Phone (203) 626-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20071109000393 CT Practitioner - Interventional Pain Management 1052327855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Rush Medical College of Rush University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 Grove St
Apt 101a
Ridgefield, CT 06877-4131
Phone (203) 724-9290

67 Masonic Ave
Wallingford, CT 06492-3095

67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3099
Phone (203) 626-9080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045712CTMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology and Pain Center of Connecticut, LLC Interventional Pain Medicine CurrentSince Feb 4, 2010 Accepting new patients
Comprehensive Neurology and Pain Center of Connecticut Stamford Current Accepting new patients
Upper East Side Medical PC Past Accepting new patients

Locations

999 Summer St
Ste 100
Stamford, CT 06905
Phone (203) 359-8326

67 Masonic Ave
Ste 2400
Wallingford, CT 06492
Phone (203) 284-3159

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEICAD/Endpoint/HEICAD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1972575801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "SUITE 2400",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-626-9080",
            "fax_number": "203-626-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "SUITE 2400",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-626-9080",
            "fax_number": "203-626-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUROK",
        "first_name": "IGOR",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "237889",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "045712",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CT",
            "license": "045712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.