LOGAN FOOT & ANKLE CENTER (NPI# 1215334966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215334966 |
| Entity Type | Organization |
| Organization Name | LOGAN FOOT & ANKLE CENTER |
| Practice Address |
100 Main Ave Logan WV 25601-3323 |
| Mailing Address |
Po Box 186 Logan WV 25601-0186 |
| Practice Telephone | 3048965012 |
| Practice Fax Number | 3048965013 |
| Mailing Telephone | 3048965012 |
| Mailing Fax Number | 3048965013 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | DR. JAMIE L HALL-JASPER (OWNER) |
| Authorized Official Telephone | 2162467958 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
10421 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810026851 | 05 |
| Street Address |
100 MAIN AVE |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982915575 | Jamie Leann Hall-jasper | Podiatrist | 100 Main Ave, Logan, WV 25601-3323 | 2010-06-29 |
| 1114585619 | Living Waters Medical Center | Clinic/Center | 100 Main Ave, Logan, WV 25601-3323 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881742088 | Edward A Filcheck Pllc | Clinic/Center | 1262 Pineview Dr, Morgantown, WV 26505-2731 | 2007-01-06 |
Please comment or provide details below to improve the information on LOGAN FOOT & ANKLE CENTER.
| 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.