DR. STEWART REESE LOGAN (NPI# 1538656202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538656202 |
| Entity Type | Individual |
| Full Name | DR. STEWART REESE LOGAN |
| Credential | MD |
| Practice Address |
200 W Arbor Dr # Mc7220 San Diego CA 92103-1911 |
| Practice Telephone | 8586577025 |
| Mailing Telephone | 8586577025 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 167320 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
200 W ARBOR DR # MC7220 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1376185116 | Charles Theuer | Surgery | 4350 La Jolla Village Dr Ste 800, San Diego, CA 92122-1247 | 2019-10-14 |
| 1447773114 | R R Gohil Md Apc | Surgery | 6386 Alvarado Ct Ste 330, San Diego, CA 92120-4908 | 2017-07-25 |
| 1720475148 | Advanced Wound Care, Inc | Surgery | 5124 Bloch St, San Diego, CA 92122-4005 | 2015-04-23 |
| 1841532843 | San Diego Emergency Physician Services, Inc. | Surgery | 6487 Dwane Ave, San Diego, CA 92120-3924 | 2013-03-18 |
| 1336488485 | Victor Herbert Lidner | Surgery | 809 Deal Ct, San Diego, CA 92109-8131 | 2013-02-10 |
| 1588909097 | San Diego Advanced Surgery P.C. | Surgery | 3245 University Ave # 501, San Diego, CA 92104-2009 | 2012-12-10 |
| 1700121472 | Vadim Avulov | Surgery | 6699 Alvarado Rd Ste 2309, San Diego, CA 92120-5241 | 2012-12-06 |
| 1194075861 | Rachel Kaye Voss | Surgery | 3146 Cowley Way, Apt 4, San Diego, CA 92117-6519 | 2012-09-10 |
| 1669730172 | Marc Rubinstein | Surgery | 6260 Sequence Dr, San Diego, CA 92121-4358 | 2012-05-03 |
| Find all providers in SAN DIEGO | ||||
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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.