LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY (NPI# 1154534162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154534162 |
| Entity Type | Organization |
| Organization Name | LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY |
| Other Organization Name | CENTER FOR INTERNAL MEDICINE AND PEDIATRICS - WATERLOO |
| Practice Address |
301 E Waterloo Rd Edmond OK 73034 |
| Mailing Address |
Po Box 1017 Guthrie OK 73044-1017 |
| Practice Telephone | 4057152000 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | STEVE ROWLEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4052826700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2267 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CD8588 | 01 |
| Other Name | Type Code |
|---|---|
| Center for Internal Medicine and Pediatrics - Waterloo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213382 | Logan Hospital and Medical Center Authority | General Acute Care Hospital | 200 S Academy Rd, Guthrie, OK 73044-8727 | 2005-05-31 |
| 1487693057 | Logan Hospital and Medical Center Authority | Medicare Defined Swing Bed Unit | 200 S Academy Rd, Guthrie, OK 73044-8727 | 2006-06-06 |
| 1376541136 | Logan Hospital and Medical Center Authority | Clinic/Center | 2919 S Division St, Guthrie, OK 73044-6806 | 2005-07-14 |
| 1316945272 | Logan Hospital and Medical Center Authority | Clinic/Center | 205 S Academy Rd, Guthrie, OK 73044-8727 | 2005-07-13 |
| 1497753487 | Logan Hospital and Medical Center Authority | Clinic/Center | 400 S Grand, Crescent, OK 73028 | 2005-07-13 |
| 1609874759 | Logan Hospital and Medical Center Authority | Home Health | 200 S Academy Rd, Guthrie, OK 73044-8727 | 2005-07-12 |
| Street Address |
301 E WATERLOO RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925302 | Laurie Anne Orme | Internal Medicine | 301 E Waterloo Rd, Edmond, OK 73034-8196 | 2005-07-12 |
| 1306130547 | Kristin Lewis | Internal Medicine | 301 E Waterloo Rd, Edmond, OK 73034-8196 | 2011-06-06 |
| 1669790598 | Kacie Cassaday | Family Medicine | 301 E Waterloo Rd, Edmond, OK 73034-8196 | 2010-05-17 |
| 1295779213 | Lisa Curtess-welch | Physician Assistant | 301 E Waterloo Rd, Edmond, OK 73034-8196 | 2006-06-16 |
| 1770581803 | Michael Stephen Elliott | Internal Medicine | 301 E Waterloo Rd, Edmond, OK 73034-8196 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1770068827 | Absolute Health Medical Partners LLC | Internal Medicine | 1305 Nw 187th St, Edmond, OK 73012-6206 | 2018-09-25 |
| 1386099596 | Michael Thrower Md, Pllc | Internal Medicine | 2000 W Danforth Rd Ste 130-221, Edmond, OK 73003-4687 | 2016-04-26 |
| 1164734075 | Timothy H Cook Md Pllc | Internal Medicine | 2310 Terra Trl, Edmond, OK 73034-3441 | 2010-07-08 |
| 1225349855 | Pm Medical, PC | Internal Medicine | 1508 N Jackson St, Edmond, OK 73034-4328 | 2010-06-29 |
| 1427239664 | Melissa Lynn Cloer | Internal Medicine | 17644 Cobalt Ave, Edmond, OK 73012-4173 | 2007-11-15 |
| 1134325608 | Jeremy Brandon Moad | Internal Medicine | 105 S Bryant Ave Ste 104, Edmond, OK 73034 | 2007-06-22 |
| 1366648859 | Michael Alan Thrower | Internal Medicine | 105 S Bryant Ave Ste 210, Edmond, OK 73034-6331 | 2007-06-22 |
| 1831308899 | Ashlee Michelle Waugh | Internal Medicine | 1701 E 2nd, Edmond, OK 73034-6387 | 2007-05-22 |
| 1396891743 | Michael Shane Hull | Internal Medicine | 105 So. Bryant Ave, Suite 104, Edmond, OK 73034-6330 | 2007-01-26 |
| Find all providers in EDMOND | ||||
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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.