LOGAN J KOPF (NPI# 1447609300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447609300 |
| Entity Type | Individual |
| Full Name | LOGAN J KOPF |
| Credential | CRNA |
| Practice Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122467106 |
| Practice Fax Number | 7122467357 |
| Mailing Telephone | 7122467106 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | D144014 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 PERSHING AVE |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1952914566 | Dena Herzberg | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2020-08-25 |
| 1104317379 | Denise J Mcenaney | Dietitian, Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-05-23 |
| 1730697681 | Jessica Anne Heitkamp | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-01-12 |
| 1073964854 | Ashlee Jo Richardson | Physical Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-23 |
| 1154797876 | Shala Davidson | Nutritionist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-08-17 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1194079954 | Shenandoah Medical Center | Durable Medical Equipment & Medical Supplies | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-11-01 |
| 1073874343 | Stephanie Eide | Occupational Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093283970 | Woodlands Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 111 Vision Park Blvd Ste 160, Shenandoah, TX 77384-3005 | 2018-11-08 |
| 1316179963 | Shenandoah Tx Endoscopy Asc LLC | Nurse Anesthetist, Certified Registered | 111 Vision Park Blvd, Suite 160, Shenandoah, TX 77384-3002 | 2009-08-17 |
| 1497810972 | Shenandoah Medical Center | Nurse Anesthetist, Certified Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1376637561 | Gary Mcintyre | Nurse Anesthetist, Certified Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165342 | Amanda Claire Eagan | Nurse Anesthetist, Certified Registered | 1515 Delhi St Ste 400, Dubuque, IA 52001-6320 | 2020-02-06 |
| 1184254989 | Patrick D. Kelsall Crna Plc | Nurse Anesthetist, Certified Registered | 3319 Spring St Ste Suite202, Davenport, IA 52807-2125 | 2020-01-21 |
| 1265923387 | Tc3 Anesthesia LLC | Nurse Anesthetist, Certified Registered | 427 S Tombergs Dr, Eldridge, IA 52748-2522 | 2018-05-24 |
| 1194232108 | Greg Kronenberg Crna, LLC | Nurse Anesthetist, Certified Registered | 800 E 1st St Ste E230, Ankeny, IA 50021-2110 | 2017-12-29 |
| 1811351315 | Tia Prebeck | Nurse Anesthetist, Certified Registered | 1316 S Main St., Clarion, IA 50525-2019 | 2016-04-11 |
| 1043678535 | Stephen Hatch | Nurse Anesthetist, Certified Registered | 3112 Se 22nd St, Ankeny, IA 50021-9592 | 2016-01-29 |
| 1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
| 1841673902 | Nicholas Linderer | Nurse Anesthetist, Certified Registered | 1515 Delhi St Ste 300, Dubuque, IA 52001-6320 | 2015-07-07 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1760869663 | Dana Swanson | Nurse Anesthetist, Certified Registered | 1818 Chelsea Ct, Iowa City, IA 52240-4762 | 2015-04-29 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.