DR. KEVIN MICHAEL LOGAN (NPI# 1639384183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639384183 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL LOGAN |
| Credential | M.D. |
| Practice Address |
8499 Fishers Center Dr. Fishers IN 46038-2318 |
| Practice Telephone | 3175984325 |
| Practice Fax Number | 3175984326 |
| Mailing Telephone | 3175984325 |
| Mailing Fax Number | 3175984326 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01052474A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
8499 FISHERS CENTER DR. |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315102 | Healthy Aging Enterprise, LLC | Internal Medicine | 10926 Belle Plaine Blvd, Fishers, IN 46037-7113 | 2016-02-09 |
| 1457743684 | Doorstepmd LLC | Internal Medicine | 12045 Bodley Pl, Fishers, IN 46037-3714 | 2015-02-25 |
| 1588773154 | American Health Network of Indiana, LLC | Internal Medicine | 10995 Allisonville Rd, Suite 100, Fishers, IN 46038-2616 | 2006-08-29 |
| 1598716458 | Steven D Hill | Internal Medicine | 13100 136th Street, Suite 3400, Iu Saxony Hospital, Fishers, IN 46237 | 2006-05-15 |
| 1922058684 | Sunil J Juthani | Internal Medicine | 13100 E 136th St Ste 3400, Iu Saxony Hospital, Fishers, IN 46037-9818 | 2006-05-11 |
| 1538118849 | Brett M Mccullough | Internal Medicine | 13861 Olio Rd, Fishers, IN 46037-3487 | 2006-05-06 |
| 1528041852 | Juanita Yoder Albright | Internal Medicine | 13914 Southeastern Pkwy Ste 108, Fishers, IN 46037-7124 | 2005-11-21 |
| 1033119441 | Aaron Gunnar Shoemaker | Internal Medicine | 11530 Allisonville Rd Ste 100, Fishers, IN 46038-1862 | 2005-07-28 |
| 1972894939 | Brittany Mohrman | Internal Medicine | 13100 E 136th St, Suite 1200, Fishers, IN 46037-9417 | 2011-04-26 |
| 1386934636 | Megan Elizabeth Vannatta | Internal Medicine | 9795 E 116th St, Fishers, IN 46037-2822 | 2011-04-07 |
| Find all providers in FISHERS | ||||
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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.