MR. JON ANDREW LOGAN (NPI# 1215133038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215133038 |
Entity Type | Individual |
Full Name | MR. JON ANDREW LOGAN |
Credential | RPA |
Practice Address |
621 North Ave Ste. C-30 Atlanta GA 30354-1430 |
Mailing Address |
214 Sutton Rd Tifton GA 31794-2221 |
Practice Telephone | 6789046820 |
Mailing Telephone | 2293822827 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
309371 | GA | Technologists, Technicians & Other Technical Service Providers |
X | 363A00000X | Physician Assistant | 06WI1204 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
621 NORTH AVE STE. C-30 |
City | ATLANTA |
State | GA |
Zip Code | 30354-1430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
1952887168 | Walking In Purpose Inc. | Counselor | 3504 Eisenhower Cir Se, Atlanta, GA 30354 | 2018-07-11 |
1699193987 | Airport Spinal Injury | Clinic/Center | 809 North Central Ave, Hapeville, GA 30354 | 2014-04-03 |
1801234885 | Allergy Specialists of Georgia | Internal Medicine | 438 Henry Ford, Atlanta, GA 30354 | 2013-06-12 |
1851442867 | Harandi, Harandi, Spelios and Associates Hapeville LLC | Point of Service | 785 Virginia Ave, Suite A, Hapeville, GA 30354 | 2007-01-16 |
1013068782 | Ali Harandifassih | Dentist | 785 Virginia Avenue, Suite A, Hapeville, GA 30354 | 2007-01-16 |
1336207349 | Catherine Clayton Harper | Registered Nurse | 3444 Claire Dr, Hopeville, GA 30354 | 2006-12-04 |
1649346099 | Katherine Lee Gill | Registered Nurse | 3444 Claire Drive, Hapeville, GA 30354 | 2006-11-28 |
1407865108 | Occupational Health Centers of Georgia PC | Clinic/Center | 3580 Atlanta Avenue, Hapeville, GA 30354 | 2006-08-05 |
1063488633 | Anthony Keith Taylor | Physician Assistant | 791 Oak Street, Hapeville, GA 30354 | 2006-02-24 |
Find all providers in zip 30354 |
Taxonomy Code | 2471C3401X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Computed Tomography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801297189 | Lisa Gardisser | Radiologic Technologist | 2646 Hwy 56 E, Lyons, GA 30436-4358 | 2014-09-05 |
1457609810 | Charles M Smith | Radiologic Technologist | 113 Fairview Park Dr, Suite A, Dublin, GA 31021-2501 | 2012-08-16 |
1942521067 | Kevin L Marler | Radiologic Technologist | 21 Golden Ct, Sharpsburg, GA 30277-2367 | 2010-06-14 |
1659510808 | Donn Alan Coe | Radiologic Technologist | 3815 Lovers Ln, Monroe, GA 30656-8556 | 2009-02-11 |
1922281104 | Clarissa Dawn George | Radiologic Technologist | 5810 Waterfall Way, Buford, GA 30518-1376 | 2007-12-11 |
1619373990 | Audrey Sims | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-13 |
1023362258 | Hilda Faye Bryant | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2012-11-09 |
1063711380 | Amanda Lauren Maldonado | Radiologic Technologist | 230 Duncan Dr Bldg 1440, Department of Radiology, Savannah, GA 31409-5107 | 2011-03-25 |
1427255769 | Daniel Wilson Krevdo | Radiologic Technologist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2007-06-29 |
1447302344 | Riverdale Radiology Center | Radiologic Technologist | 833 Walnut St, Macon, GA 31201-2617 | 2007-01-18 |
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.