MR. JAMES RUSSELL LOGAN (NPI# 1477584001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477584001 |
| Entity Type | Individual |
| Full Name | MR. JAMES RUSSELL LOGAN |
| Credential | M.D. |
| Practice Address |
6470 Pentz Rd Suite A Paradise CA 95969 |
| Practice Telephone | 5308726655 |
| Practice Fax Number | 5308726653 |
| Mailing Telephone | 5308726655 |
| Mailing Fax Number | 5308726653 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G72586 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ01920Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821020736 | James R Logan | Psychologist | 41 Lord of Lords Ave, Pineville, LA 71360-2113 | 2006-07-07 |
| 1689675175 | James W Logan | Internal Medicine | 148 Highway 105 Ext, Suite 104, Boone, NC 28607-5681 | 2005-08-09 |
| 1972861615 | James W Logan | Counselor | 10704 Paseo Del Norte Ne, Albuquerque, NM 87122-3112 | 2012-05-01 |
| 1225265721 | James Scott Logan | Preventive Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2009-06-11 |
| 1659407138 | James R Logan | Dentist | 607 State St, Baden, PA 15005-1740 | 2007-02-26 |
| 1518023894 | James L Logan | Dentist | 29632 Highway 299 East, Round Mountain, CA 96084-0228 | 2006-12-29 |
| 1023026838 | James Norman Logan | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2006-08-04 |
| 1437177698 | James Logan | Dentist | 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508-5904 | 2006-07-17 |
| 1881630655 | James J Logan | Pediatrics | 1062 Forsyth St, Suite 2c, Macon, GA 31201-8637 | 2006-06-21 |
| 1780626804 | James Robert Logan | Otolaryngology | 5356 Reynolds St, Suite 505, Savannah, GA 31405-6106 | 2006-06-12 |
| Street Address |
6470 PENTZ RD SUITE A |
| City | PARADISE |
| State | CA |
| Zip Code | 95969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111006 | Paradise Medical Group, Inc. | Internal Medicine | 6470 Pentz Rd, Suite A, Paradise, CA 95969-3674 | 2005-11-17 |
| 1215162540 | Jennifer Ann Curtis | Nurse Practitioner | 6470 Pentz Rd, Paradise, CA 95969-3674 | 2009-05-15 |
| 1003847450 | Richard B Turner | Family Medicine | 6470 Pentz Rd, Paradise, CA 95969-3674 | 2006-07-05 |
| 1588693261 | Kae T Aung | Internal Medicine | 6470 Pentz Rd, Suite B, Paradise, CA 95969-3674 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
| Find all providers in zip 95969 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107400 | Susan L Mallory | Pediatrics | 6480 Pentz Rd, Suite E, Paradise, CA 95969-3672 | 2006-07-18 |
| 1457385791 | Samuel A Daniyan | Pediatrics | 6480 Pentz Rd, Suite E, Paradise, CA 95969-3672 | 2006-07-11 |
| 1861475865 | Theodore Zwerdling | Pediatrics | 5125 Skyway, Paradise, CA 95969 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| 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.