LISA MARIE LOGAN (NPI# 1114098464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114098464 |
| Entity Type | Individual |
| Full Name | LISA MARIE LOGAN |
| Credential | PA-C |
| Practice Address |
825 S Main St. Tonopah NV 89049 |
| Mailing Address |
850 Harvard Way # T5 Reno NV 89502-2055 |
| Practice Telephone | 7759828255 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1023 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659528214 | Lisa H. Logan | Physical Therapist | 578 Savannah Dr, Walton, KY 41094-7430 | 2008-08-25 |
| 1568988723 | Lisa Logan | Counselor | 10001 Lake Forest Blvd, #404, New Orleans, LA 70127 | 2017-08-19 |
| 1568732444 | Lisa Logan | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2012-01-09 |
| 1902042476 | Lisa M Logan | Nurse Practitioner | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2009-01-05 |
| 1154367860 | Lisa S Logan | Pathology | 301 Saint Paul Pl, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-21 |
| Street Address |
825 S MAIN ST. |
| City | TONOPAH |
| State | NV |
| Zip Code | 89049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699792 | Shawn Edward Jensen | Pharmacist | 120 South Main St, Tonopah, NV 89049 | 2019-10-08 |
| 1861967911 | Kathleen Bernache | Counselor | 1 Frankie St, Tonopah, NV 89049 | 2018-10-04 |
| 1063901965 | Raleys | Pharmacy | Hwy 95 & Air Force Rd., Tonopah, NV 89049 | 2018-05-07 |
| 1467858464 | Westcare Nevada | Counselor | 1 Frankie Street, Tonopah, NV 89049 | 2014-11-18 |
| 1295130185 | David Cain | Physician Assistant | 825 South Main, Tonopah, NV 89049 | 2014-11-04 |
| 1407088529 | Nevada State Health Division | Public Health or Welfare | #1 Frankie Avenue, Tonopah, NV 89049 | 2009-08-24 |
| 1225233018 | Craig A Strobel | Family Medicine | 825 S. Erie Main Street, Tonopah, NV 89049 | 2007-06-20 |
| 1033253174 | Gerald W Peterson Jr Ltd | Family Medicine | 119 St. Patrick Ln., Tonopah, NV 89049 | 2007-02-19 |
| 1487718383 | Nye County | Ambulance | 1114 Globemallow Ln, Ste 2, Tonopah, NV 89049 | 2006-12-22 |
| 1255367058 | Primecare Nevada Dba Nye Regional Medical Center | Clinic/Center | 825 South Main Street, Tonopah, NV 89049 | 2006-06-23 |
| Find all providers in zip 89049 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130185 | David Cain | Physician Assistant | 825 South Main, Tonopah, NV 89049 | 2014-11-04 |
| 1922342708 | Kurt Rettig | Physician Assistant | 825 Erie Main St, Tonopah, NV 89049-0391 | 2012-11-19 |
| 1164851457 | John Smetana | Physician Assistant | 825 S Main St, Tonopah, NV 89049-0391 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1396362422 | Jeffrey Lee Chapman | Physician Assistant | 7405 Bryan Canyon Rd, Washoe Valley, NV 89704-9588 | 2020-07-06 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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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.