HILARY BETH LOGE (NPI# 1487888483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487888483 |
| Entity Type | Individual |
| Full Name | HILARY BETH LOGE |
| Credential | M.D. |
| Practice Address |
101 Bodin Cir Fl Clinic3 Travis Afb CA 94535-1809 |
| Mailing Address |
101 Bodin Circle General Surgery Clinic, 3rd Floor, Dgmc Travis Afb CA 94535 |
| Practice Telephone | 9168439224 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A113749 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
101 BODIN CIR FL CLINIC3 |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134548563 | Aaron Joseph Schneider | Surgery | 60 Mdg/scgq, 101 Bodin Circle, Travis Afb, CA 94535 | 2014-04-14 |
| 1225354145 | Ramon Alberto Riojas | Surgery | 60mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 | 2010-04-16 |
| 1588989222 | Jason Babcock | Surgery | 60 Mdg / 60 Sgcs, 101 Bodin Cr, Travis Afb, CA 94535-1800 | 2010-04-06 |
| 1386969137 | John Devin Blackwell Watson | Surgery | 60 Mdg/sgch, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2010-04-05 |
| 1992718092 | Daniel Xavier Choi | Surgery | 60 Mdg/sgcs/sgcq, 101 Bodin Circle, Travis Afb, CA 94535 | 2006-08-13 |
| 1790746006 | Scott Adrian Zakaluzny | Surgery | 101 Bodin Cir 60 Mdg/sgcq, Travis Afb, CA 94535-1800 | 2006-03-28 |
| 1700873023 | Kullada Pichakron | Surgery | 60 Msgs/sgcq, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2005-10-03 |
| 1518353127 | Lindsey Nicole Weigand | Surgery | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2015-04-09 |
| 1508205022 | Sarah Catherine Bradford | Surgery | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2013-06-18 |
| 1992020754 | Benjamin Thomas Feeney | Surgery | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2010-04-05 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
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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.