MARTIN THOMAS LOGSDON (NPI# 1538110424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538110424 |
| Entity Type | Individual |
| Full Name | MARTIN THOMAS LOGSDON |
| Credential | MD |
| Practice Address |
1700 Bluegrass Avenue Suite 300 Louisville KY 40215 |
| Practice Telephone | 5023631841 |
| Practice Fax Number | 5023663317 |
| Mailing Telephone | 5023631841 |
| Mailing Fax Number | 5023663317 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20406 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000047754 | 01 | |
| KY | 64204068 | 05 | |
| PASSPORT | 1069483 | 01 |
| Street Address |
1700 BLUEGRASS AVENUE SUITE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588841308 | Glenn A. Mccoy, Md Pllc | Specialist | 1700 Bluegrass Avenue, Suite 110, Louisville, KY 40215-1129 | 2008-01-23 |
| 1669539789 | Louisville Dermatology Asc Psc | Nurse Practitioner | 1700 Bluegrass Avenue, Suite 300, Louisville, KY 40215 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1578745923 | Margaret K Sparks | Dermatology | 10302 Brookridge Village Blvd, Suite 102, Louisville, KY 40291-4475 | 2007-11-28 |
| 1295924520 | Joseph L Thompson Psc | Dermatology | 4010 Dupont Cir Ste 511, Louisville, KY 40207-4888 | 2007-10-23 |
| 1801083431 | Rana Majd Mays | Dermatology | 241 Sears Ave Ste 103, Louisville, KY 40207 | 2007-09-27 |
| 1407972060 | Garrett M Crabtree | Dermatology | 2005 Lake Point Way, Ste 101, Louisville, KY 40223-4236 | 2007-03-22 |
| 1548273733 | Dermatopathology Alliance of Kentucky Pllc | Dermatology | 839 S 2nd St, Louisville, KY 40203-2209 | 2006-08-15 |
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.