DR. KERI A LOGAN


Address: 200 Belle Terre Road, St. Charles Hospital, Port Jefferson, NY 11777
Phone: 6314746553

DR. KERI A LOGAN (NPI# 1518970789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518970789
Entity Type Individual
Full Name DR. KERI A LOGAN
Credential DMD
Practice Address 200 Belle Terre Road
St. Charles Hospital
Port Jefferson
NY 11777
Practice Telephone 6314746553
Practice Fax Number 6314746024
Enumeration Date 2006-08-15
Last Update Date 2017-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice 		045910 NY Dental Providers

Office Location

Street Address 200 BELLE TERRE ROAD
ST. CHARLES HOSPITAL
City PORT JEFFERSON
State NY
Zip Code 11777

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104820018 Mark J. Kropf Internal Medicine 200 Belle Terre Road, Suite 100, Port Jefferson, NY 11777-1928 2005-06-08
1013389881 Jesse Mccarthy Physician Assistant 200 Belle Terre Road, Port Jefferson, NY 11777 2015-10-20
1457660094 Mohammad Mostafa Amin Physician, Pllc Internal Medicine 200 Belle Terre Road, Sleep Lab, Port Jefferson, NY 11777 2010-09-30
1033358841 Joanne F Angstadt Nurse Practitioner 200 Belle Terre Road, Port Jefferson, NY 11733 2009-02-18
1972753812 Kathleen Galway Speech-Language Pathologist 200 Belle Terre Road, Port Jefferson, NY 11777 2008-09-29
1801076294 Sherly T Chamakala Nurse Practitioner 200 Belle Terre Road, St Charles Hospital, Port Jefferson, NY 11777-1928 2007-11-14
1720123474 Darcy K Upton Registered Nurse 200 Belle Terre Road, St Charles Hospital, Port Jefferson, NY 11777 2007-02-20
1861562704 Juliette Avigdor Trope Pediatrics 200 Belle Terre Road, Port Jefferson, NY 11777 2006-11-08
1467464297 Joseph Peter Boglia Internal Medicine 200 Belle Terre Road, Ste 110, Port Jefferson, NY 11777-1928 2006-08-12
1649291451 Kenneth Irwin Fishberger Internal Medicine 200 Belle Terre Road, Suite #110, Port Jefferson, NY 11777 2006-07-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088615 Aqsa Ashraf Student in an Organized Health Care Education/Training Program 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 2020-06-24
1366068975 Manal Ahmad Student in an Organized Health Care Education/Training Program 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 2020-06-19
1639794555 Umair Ahmad Ansari Student in an Organized Health Care Education/Training Program 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 2020-06-16
1578188132 Manasi Sule Student in an Organized Health Care Education/Training Program 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 2020-06-10
1508480716 Imona Subedi Student in an Organized Health Care Education/Training Program 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 2020-06-03
1184252108 Romana Imtiaz Syed Student in an Organized Health Care Education/Training Program Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 2020-03-27
1649807348 Mustafa Mohammed Abdulsada Student in an Organized Health Care Education/Training Program 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 2020-03-24
1184264764 Girma Moges Gamme Surgery 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 2020-01-10
1811554637 Kausar Ali Nurse Practitioner 408 Thompson Street, Port Jefferson, NY 11777 2019-05-28
1073097531 Ministry for Hope, Inc. Montfort Therapeutic Residence Residential Treatment Facility, Physical Disabilities 100 Stonyhill Road, Port Jefferson, NY 11777 2018-09-20
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992171441 Franklin E. Peterson Dds Dentist 111 N Country Rd, Port Jefferson, NY 11777-2605 2015-08-19
1134595580 Sara Grace Dentist 111 N Country Rd Ste 1, Port Jefferson, NY 11777-2605 2015-08-19
1538427802 Victoria Elena Shack Dentist 150 N Country Rd, Apt A10, Port Jefferson, NY 11777-2154 2012-04-24
1194863134 Leonard Thomas Fazio Dentist 1303 Main St, The Pen and Pencil Building Suite 2, Port Jefferson, NY 11777-2257 2007-02-02
1104919463 Gregory Thaddeus St Clair Dentist 101 Hoyt Ln, Port Jefferson, NY 11777-1318 2006-10-01
1407858517 Carl Peter Palmblad Dentist 14 N Country Rd, Port Jefferson, NY 11777-2116 2005-06-01
1548573165 Jennifer Englebright Dentist 656 Main St, Port Jefferson, NY 11777-2203 2010-07-24
1417260167 Dr. Lauren S. Argentina, Dds, PC Dentist 714 Main St, Port Jefferson, NY 11777-2223 2010-07-23
1093960890 Port Jefferson Dental Group P. C. Dentist 602 Main St, Port Jefferson, NY 11777-2203 2008-11-20
1154518215 John Michael Perlman Dentist 101 Hoyt Ln, Port Jefferson, NY 11777-1318 2007-10-02
Find all providers in PORT JEFFERSON

Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

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.

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