YEN LOGAN (NPI# 1154870145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154870145 |
Entity Type | Individual |
Full Name | YEN LOGAN |
Practice Address |
14139 Potomac Mills Rd Woodbridge VA 22192-4644 |
Practice Telephone | 7034908400 |
Mailing Telephone | 7034908400 |
Enumeration Date | 2016-10-01 |
Last Update Date | 2016-10-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
0202205698 | VA | Ambulatory Health Care Facilities |
Street Address |
14139 POTOMAC MILLS RD |
City | WOODBRIDGE |
State | VA |
Zip Code | 22192-4644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548268352 | Valencia J Cobb | Internal Medicine | 14139 Potomac Mills Rd, Kaiser Permanente Woodbridge Medical Center, Woodbridge, VA 22192-4644 | 2005-07-14 |
1710525803 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2019-12-19 |
1437613866 | Anne M Kome | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2019-01-30 |
1265949093 | Amy Munsell Valenzuela | Registered Nurse | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2018-01-02 |
1750838678 | Richard Alan Friedman | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2016-09-08 |
1679937130 | Ying Yin Chen | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2016-04-11 |
1730544297 | Fatima Qayum | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2015-12-28 |
1053785261 | Krystel Nasr | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2015-11-25 |
1780058206 | Daniel Huynh | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2015-11-20 |
1962876979 | Cynthia Adams | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2015-11-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
Find all providers in zip 22192 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
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1609250455 | Safe Hands Home Health Care LLC | Clinic/Center | 116 Nancy Dr Apt W1, Suffolk, VA 23434-4894 | 2015-07-11 |
1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
1114292737 | Eyecare Center Corp | Clinic/Center | 4229 Jefferson Oaks Cir, K, Fairfax, VA 22033-4071 | 2012-03-14 |
1427353614 | Ardis Dentistry | Clinic/Center | 1445 Johnston Willis Drive, Suite A, Cjw Medical Center, Richmond, VA 23235-4885 | 2011-01-19 |
1124337258 | Danny J. Minor, D.c.,p.c. | Clinic/Center | 936 Park Ave Nw, Norton, VA 24273-1821 | 2010-10-07 |
1598072902 | Richmond Vamc | Clinic/Center | 1746 E Atlantic St, Emporia, VA 23847-6584 | 2010-09-07 |
Find all providers with the same taxonomy |
City | WOODBRIDGE |
Zip Code | 22192 |
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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.