SOUTH LOGAN FAMILY PRACTICE CENTER (NPI# 1053519868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053519868 |
| Entity Type | Organization |
| Organization Name | SOUTH LOGAN FAMILY PRACTICE CENTER |
| Practice Address |
895 S Logan St Denver CO 80209-4197 |
| Practice Telephone | 3037333764 |
| Practice Fax Number | 3037330868 |
| Mailing Telephone | 3037333764 |
| Mailing Fax Number | 3037330868 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | VICKI LAWS (OFFICE MANAGER) |
| Authorized Official Telephone | 3037333764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26202 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01262021 | 05 |
| Street Address |
895 S LOGAN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80209-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275570301 | Nathaniel J Moore | Family Medicine | 895 S Logan St, Denver, CO 80209 | 2006-05-31 |
| 1225695497 | Jeanne Rael | Social Worker | 895 S Logan St, Denver, CO 80209-4127 | 2019-05-23 |
| 1932507613 | Mednow Clinics, Inc | Clinic/Center | 895 S Logan St, Denver, CO 80209-4127 | 2014-12-12 |
| 1992100622 | South Logan Medical Management Svcs LLC | Clinic/Center | 895 S Logan St, Denver, CO 80209-4127 | 2014-10-23 |
| 1659789733 | South Logan Family Practice | Physician Assistant | 895 S Logan St, Denver, CO 80209-4127 | 2014-08-01 |
| 1003059452 | Dwight Duncan | Psychologist | 895 S Logan St, Denver, CO 80209-4127 | 2009-04-15 |
| 1083827224 | Shauntae T Murphy | Physician Assistant | 895 S Logan St, Denver, CO 80209-4127 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1619452489 | Open and Affordable Dental Cherry Creek Pllc | Dentist | 3773 Cherry Creek Dr, Unit 120, Denver, CO 80209 | 2018-09-27 |
| 1952894842 | Anna Rose Schwartz | Dietitian, Registered | 155 S. Madison St. Suite 328, Denver, CO 80209 | 2018-06-14 |
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1912442542 | Neil David Wright | Counselor | 121 S Madison St Ste C, Denver, CO 80209 | 2017-01-05 |
| 1336681287 | Brianne Wiese | Counselor | 359 E Bayaud Ave # 106, Denver, CO 80209 | 2016-11-09 |
| 1275910671 | Sarah Ashley Robbins | Family Medicine | 360 S Garfield St Ste 500, Denver, CO 80209 | 2015-05-05 |
| 1871992404 | Egert-kreider Dental | Dentist | 3955 E. Expostition Ave, Suite 312, Denver, CO 80209 | 2014-08-20 |
| 1811309164 | Aurora G. Burluc D.d.s, PC | Dentist | 3773 Cherry Creek Dr. North, #120, Denver, CO 80209 | 2014-05-21 |
| 1770995110 | Elizabeth Gateley | Counselor | 50 S Steele St Ste 435, Denver, CO 80209 | 2014-05-20 |
| Find all providers in zip 80209 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1316551716 | Scl Health Medical Group - Denver, LLC | Family Medicine | 400 S Colorado Blvd Ste 900, Denver, CO 80246-1241 | 2020-09-02 |
| 1760095939 | Scl Health Medical Group - Denver, LLC | Family Medicine | 4859 N Yampa St, Denver, CO 80249 | 2020-08-28 |
| 1760092001 | Bridget Mucha | Family Medicine | 3595 W 29th Ave Apt 29, Denver, CO 80211-3667 | 2020-08-02 |
| 1073131660 | New West Physicians, P.C. | Family Medicine | 7550 W Yale Ave Bldg B, Denver, CO 80227-3465 | 2020-07-09 |
| 1356962849 | Summit Primary Care | Family Medicine | 850 E Harvard Ave Ste 310, Denver, CO 80210-5073 | 2020-05-06 |
| 1902426828 | Rebecca Andrie | Family Medicine | 295 E Speer Blvd, Denver, CO 80203-3578 | 2020-04-21 |
| 1598390247 | Mvc Colorado PC | Family Medicine | 6795 E Tennessee Ave Ste 175, Denver, CO 80224-1646 | 2020-03-03 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.