MR. DAVID MATTHEW LOGAN (NPI# 1154983336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154983336 |
| Entity Type | Individual |
| Full Name | MR. DAVID MATTHEW LOGAN |
| Credential | CASAC-II |
| Practice Address |
1175 Grand Concourse Fl 8 Bronx NY 10452-8549 |
| Practice Telephone | 2126651860 |
| Practice Fax Number | 7182944034 |
| Mailing Telephone | 2126651860 |
| Mailing Fax Number | 7182944034 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922403898 | David Michael Logan | Military Health Care Provider | Psc 485 Box 508, Fpo, AP 96321-0006 | 2014-11-04 |
| 1942241195 | David Robert Logan | Dentist | 934 Kapahulu Ave, Suite 204, Honolulu, HI 96816-1491 | 2006-06-09 |
| 1093795965 | David A. Logan | Obstetrics & Gynecology | 575 Coal Valley Rd Ste 300, Clairton, PA 15025-3770 | 2006-01-18 |
| 1780891762 | David Grant Logan | Dentist | 2237 Jordan Ave, Juneau, AK 99801-8050 | 2007-05-17 |
| 1871705194 | David M Logan | Preventive Medicine | 5080 Spectrum Dr, Suite 1200w, Addison, TX 75001-4648 | 2007-05-07 |
| Street Address |
1175 GRAND CONCOURSE FL 8 |
| City | BRONX |
| State | NY |
| Zip Code | 10452-8549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1194205096 | Lorraine E Essien | Licensed Practical Nurse | 1491 Macombs Road, Apt 4j, Bronx, NY 10452 | 2018-08-20 |
| 1578042768 | Latisha Monique Williams | Registered Nurse | 1465 Nelson Avenue, #2g, Bronx, NY 10452 | 2018-08-09 |
| 1073022695 | Jenny Amparo Calderon | Case Manager/Care Coordinator | 1265 Gerard Avenue Apt 4f, Bronx, NY 10452 | 2017-09-26 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1548786288 | James Bishop Jr. | Counselor | 1366 Inwood Ave 1st Floor, Bronx, NY 10452 | 2017-08-15 |
| 1346763315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 88 Featherbed Ln, Bronx, NY 10452 | 2017-07-21 |
| 1841712205 | Gloria Susanah Tirado | Registered Nurse | 95 W 162nd Street Apt 26, Bronx, NY 10452 | 2017-07-07 |
| 1568999266 | Madeline Mora | Occupational Therapy Assistant | 1424 Shakespeare Ave, Apt# 2fl, Bronx, NY 10452 | 2017-05-12 |
| 1265963995 | Nana Yaa Darkwah | Licensed Practical Nurse | 1475 Wythe Place#6d, Bronx, NY 10452 | 2017-03-24 |
| Find all providers in zip 10452 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1013528512 | Koly J. Guilavogui | Counselor | 770 E 176th St Ste 315, Bronx, NY 10460-4617 | 2020-08-10 |
| 1881218063 | Courtney Follweiler | Counselor | 609 Kappock St Apt 5c, Bronx, NY 10463-7777 | 2020-06-03 |
| 1053953430 | Juventino Diez | Counselor | 165 Mermaid Ln, Bronx, NY 10473-2499 | 2019-10-17 |
| 1801374038 | Cheryl Edmond | Counselor | 1523 Jarvis Ave, Bronx, NY 10461-5604 | 2018-07-31 |
| 1437662855 | Marion L Ogunusi | Counselor | 1910 Arthur Ave Fl 4, Bronx, NY 10457-6305 | 2017-11-07 |
| 1790203818 | Naimah Nazirah Singleton | Counselor | 480 E 188th St Apt 6a, Bronx, NY 10458-5823 | 2017-09-08 |
| 1619494705 | Joshua Barnes | Counselor | 1910 Arthur Ave Fl 7, Bronx, NY 10457-6305 | 2017-08-29 |
| 1134645633 | Steven C Mitchell | Counselor | 1366 Inwood Ave Fl 1, Bronx, NY 10452-3203 | 2017-08-16 |
| Find all providers in BRONX | ||||
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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.