LOGAN JOHNSON (NPI# 1497141527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497141527 |
| Entity Type | Individual |
| Full Name | LOGAN JOHNSON |
| Credential | PA-C |
| Practice Address |
10652 S Eastern Ave Suite A Henderson NV 89052-4952 |
| Mailing Address |
Po Box 743752 Atlanta GA 30374-3752 |
| Practice Telephone | 7024762800 |
| Practice Fax Number | 7024762040 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0313 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3841 W Charleston Blvd Ste 203, Las Vegas, NV 891021858 | 7028484443 | 7028050299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1487253795 | Logan Anthony Johnson | Occupational Therapist | 3744 S Timberline Rd, Fort Collins, CO 80525-4333 | 2020-10-19 |
| 1558859918 | Logan Johnson | Counselor | 20525 Detroit Rd Ste 8, Rocky River, OH 44116-2444 | 2018-05-01 |
| Street Address |
10652 S EASTERN AVE SUITE A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699751776 | Monivirin Son | Family Medicine | 10652 S Eastern Ave, Ste A, Henderson, NV 89052-4952 | 2005-12-20 |
| 1356887376 | Sanoeun Nan | Nurse Practitioner | 10652 S Eastern Ave, Henderson, NV 89052-4952 | 2017-01-14 |
| 1033506498 | Enrico Estrella | Registered Nurse | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2015-04-22 |
| 1396130605 | Roxane Alexis Dalke | Physician Assistant | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2015-04-02 |
| 1467845719 | Donna Katz | Nurse Practitioner | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2015-03-11 |
| 1831503390 | Kelly Slaughter | Nurse Practitioner | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2014-06-12 |
| 1134546575 | Urgent Care Nevada, LLC | Clinic/Center | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2014-03-24 |
| 1407286057 | Christine Cao | Family Medicine | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2013-11-18 |
| 1083952238 | Claire Marie Manchester | Physician Assistant | 10652 S Eastern Ave, Ste A, Henderson, NV 89052-4952 | 2013-01-23 |
| 1134471402 | Robin Dale Wellington | Registered Nurse | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| 1982241261 | Anna Liang | Physician Assistant | 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 | 2019-12-05 |
| 1194369710 | Brooke Lauren Cossaboom | Physician Assistant | 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 | 2019-11-06 |
| 1316407810 | Joseph William Rozmus IIi | Physician Assistant | 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 | 2019-03-21 |
| 1164996419 | Emily Taylor Relles | Physician Assistant | 71 Falcon Feather Way, Henderson, NV 89012-5835 | 2019-01-18 |
| 1528511516 | Clinton Matthew Emmons | Physician Assistant | 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 | 2016-07-26 |
| 1447616404 | Marcos Gomez | Physician Assistant | 121 Pettswood Dr, Henderson, NV 89002-3390 | 2016-01-06 |
| 1407244593 | Laura Schmitt | Physician Assistant | 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 | 2014-12-26 |
| 1740602275 | Tanner J Smith | Physician Assistant | 830 Carnegie St Apt 623, Henderson, NV 89052-5734 | 2014-01-17 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on LOGAN JOHNSON.
| 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.