LOGAN PEDIATRICS, PLLC (NPI# 1497867089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497867089 |
| Entity Type | Organization |
| Organization Name | LOGAN PEDIATRICS, PLLC |
| Practice Address |
975 Hopkinsville Rd Russellville KY 42276-9774 |
| Practice Telephone | 2707261266 |
| Practice Fax Number | 2707261961 |
| Mailing Telephone | 2707261266 |
| Mailing Fax Number | 2707261961 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VARSHA HUMBLE (OWNER) |
| Authorized Official Telephone | 2707261266 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 39621 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
975 HOPKINSVILLE RD |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796334 | Logan Memorial Hospital | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2006-07-21 |
| 1013408053 | Logan Physician Practice LLC | Internal Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2018-05-25 |
| 1013145705 | Great Physician Health Services | Internal Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2009-07-01 |
| 1053557645 | Heather A Goodall | Nurse Practitioner | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2009-01-02 |
| 1871693663 | Richard Bailey M.d. Medical Practice, LLC | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2006-09-22 |
| 1750380382 | Charles H. Mathis | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| 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 |
|---|---|---|---|---|
| 1194907394 | Lakeshore Pediatrics of Russellville | Pediatrics | 603 Gandy St Ne, Russellville, AL 35653-1911 | 2007-11-29 |
| 1740246552 | Neylon Pilkington | Pediatrics | 220 N Sidney, Russellville, AR 72801 | 2006-04-21 |
| 1528021474 | Rizk M Abdel Moutagaly | Pediatrics | 715 Gandy St, Russellville, AL 35653 | 2006-04-11 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1134637556 | Russellville Pediatric & Adolescent Clinic, Pa | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2018-01-19 |
| 1285145169 | Arkansas Family Care Network | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2017-10-18 |
| 1609310358 | Priority Primary Care LLC | Pediatrics | 60 Shelton Ln, Russellville, KY 42276-7203 | 2016-12-15 |
| 1376834994 | Howard Madison Orsburn Iv | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2011-04-30 |
| 1326339557 | Chadwick Jerold Masters | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2011-04-21 |
| 1457553737 | Britney Anne Bertsch | Pediatrics | 1497 Nashville St, Russellville, KY 42276-8850 | 2007-05-31 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on LOGAN PEDIATRICS, PLLC.
| 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.