MR. RUSSELL WARREN LOGAN (NPI# 1497816698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497816698 |
Entity Type | Individual |
Full Name | MR. RUSSELL WARREN LOGAN |
Credential | DOCTOR OF CHIROPRACT |
Practice Address |
911 Gulf Street Lamar MO 64759-1406 |
Practice Telephone | 4176823466 |
Practice Fax Number | 4176823600 |
Mailing Telephone | 4176823466 |
Mailing Fax Number | 4176823600 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-09-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 004214 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS | 9656 | 01 |
MO | MERCY PREMIER | T43342 | 01 |
Street Address |
911 GULF STREET |
City | LAMAR |
State | MO |
Zip Code | 64759-1406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265959118 | Alana Gilmartin | Pharmacist | 605 A W 12th St, Lamar, MO 64759 | 2017-08-22 |
1790989523 | Eden Christine Ogden | Registered Nurse | Second and Gulf St., Lamar, MO 64759 | 2007-06-14 |
1972699353 | Barton County Health Department | Public Health or Welfare | 1301 East 12th Street, Lamar, MO 64759 | 2006-10-05 |
1366478711 | Timothy Sprenkle | Family Medicine | 307 W 11th Street, Lamar, MO 64759 | 2006-06-25 |
1215432232 | Julie Lynn Turner | Nurse Practitioner | 29 Nw 1st Ln, Lamar, MO 64759 | 2018-03-30 |
1598297145 | Rochelle Gardner | Respiratory Therapist, Registered | 29 Nw 1st Lane, Lamar, MO 64759 | 2017-04-03 |
1669904116 | Nico Linsteadt | Respiratory Therapist, Certified | 29 Nw 1st Ln, Lamar, MO 64759 | 2017-04-03 |
1487020418 | Ozark Tri-county Health Care Consortium | Clinic/Center | 210 W 10th St, Lamar, MO 64759 | 2015-08-13 |
1891107652 | Kevin M. Deao | Registered Nurse | 29 Nw 1st Ln, Lamar, MO 64759 | 2014-05-28 |
1073637138 | David Bryan Compton | Specialist/Technologist | 29 Nw 1st Ln, Lamar, MO 64759 | 2007-03-16 |
Find all providers in zip 64759 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073993945 | Veyna Chiropractic & Wellness, LLC | Chiropractor | 313 S 5th St Ste 3, Lamar, CO 81052-2755 | 2015-06-04 |
1295037141 | Richard R. Behrend, Inc | Chiropractor | 1201 Poplar St, Lamar, MO 64759-1934 | 2010-11-29 |
1366614075 | Lamar Chiropractic | Chiropractor | 103 E Elm St, Lamar, CO 81052 | 2008-04-02 |
1922281799 | Sean Robert Oquist | Chiropractor | 109 W. Lee Ave., Suite 10-2, Lamar, CO 81052 | 2007-12-14 |
1427673466 | Douglas W Kuhns | Chiropractor | 103 E Elm St, Lamar, CO 81052 | 2020-06-16 |
1982876694 | Elin Ora | Chiropractor | 103 E Elm St, Lamar, CO 81052 | 2008-04-02 |
1760654461 | Douglas William Kuhns | Chiropractor | 103 E Elm St, Lamar, CO 81052 | 2008-04-02 |
1346253234 | Louise None Middaugh | Chiropractor | 201 Kendall Dr, Lamar, CO 81052-3939 | 2006-08-14 |
1780694661 | Richard R Behrend | Chiropractor | 1201 Poplar St, Lamar, MO 64759-1934 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
1275133084 | Madison Huot | Chiropractor | 196 Hwy 100, Hermann, MO 65041 | 2020-10-30 |
1720688476 | Damien Sampson | Chiropractor | 1023 Main Plaza Dr Apt L, Wentzville, MO 63385-1170 | 2020-10-30 |
1184224495 | Michael Lentz | Chiropractor | 106 W Old Mill Rd, Fair Grove, MO 65648-8646 | 2020-10-27 |
1396344958 | Noah Adam Aldridge | Chiropractor | 2745 High Ridge Blvd Ste 5b, High Ridge, MO 63049-2200 | 2020-10-23 |
1982201455 | Maran Alexandra Tennis | Chiropractor | 211 Nw Executive Way Ste C, Lees Summit, MO 64063-1846 | 2020-10-07 |
1891392817 | Mason Coffman | Chiropractor | 101 N Lyon St, Butler, MO 64730-2131 | 2020-10-02 |
1255947230 | Matthew Mcpeak | Chiropractor | 4200 N Cloverleaf Dr Ste M, Saint Peters, MO 63376-6436 | 2020-09-16 |
1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
1780299164 | Michelle Marie Brungart | Chiropractor | 12201 Big Bend Rd Ste 200, Kirkwood, MO 63122-6831 | 2020-09-11 |
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.