SOUTH LOGAN FAMILY PRACTICE (NPI# 1659789733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659789733 |
| Entity Type | Organization |
| Organization Name | SOUTH LOGAN FAMILY PRACTICE |
| Practice Address |
895 S Logan St Denver CO 80209-4127 |
| Practice Telephone | 3037333764 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | SHAUNTAE TALA MURPHY (PA) |
| Authorized Official Telephone | 3037333764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2334 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447461900 | South Logan Family Practice | Family Medicine | 1808 East Main, Booneville, AR 72927-1373 | 2007-05-25 |
| Street Address |
895 S LOGAN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80209-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275570301 | Nathaniel J Moore | Family Medicine | 895 S Logan St, Denver, CO 80209 | 2006-05-31 |
| 1225695497 | Jeanne Rael | Social Worker | 895 S Logan St, Denver, CO 80209-4127 | 2019-05-23 |
| 1932507613 | Mednow Clinics, Inc | Clinic/Center | 895 S Logan St, Denver, CO 80209-4127 | 2014-12-12 |
| 1992100622 | South Logan Medical Management Svcs LLC | Clinic/Center | 895 S Logan St, Denver, CO 80209-4127 | 2014-10-23 |
| 1003059452 | Dwight Duncan | Psychologist | 895 S Logan St, Denver, CO 80209-4127 | 2009-04-15 |
| 1053519868 | South Logan Family Practice Center | Family Medicine | 895 S Logan St, Denver, CO 80209-4197 | 2007-07-03 |
| 1083827224 | Shauntae T Murphy | Physician Assistant | 895 S Logan St, Denver, CO 80209-4127 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1619452489 | Open and Affordable Dental Cherry Creek Pllc | Dentist | 3773 Cherry Creek Dr, Unit 120, Denver, CO 80209 | 2018-09-27 |
| 1952894842 | Anna Rose Schwartz | Dietitian, Registered | 155 S. Madison St. Suite 328, Denver, CO 80209 | 2018-06-14 |
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1912442542 | Neil David Wright | Counselor | 121 S Madison St Ste C, Denver, CO 80209 | 2017-01-05 |
| 1336681287 | Brianne Wiese | Counselor | 359 E Bayaud Ave # 106, Denver, CO 80209 | 2016-11-09 |
| 1275910671 | Sarah Ashley Robbins | Family Medicine | 360 S Garfield St Ste 500, Denver, CO 80209 | 2015-05-05 |
| 1871992404 | Egert-kreider Dental | Dentist | 3955 E. Expostition Ave, Suite 312, Denver, CO 80209 | 2014-08-20 |
| 1811309164 | Aurora G. Burluc D.d.s, PC | Dentist | 3773 Cherry Creek Dr. North, #120, Denver, CO 80209 | 2014-05-21 |
| 1770995110 | Elizabeth Gateley | Counselor | 50 S Steele St Ste 435, Denver, CO 80209 | 2014-05-20 |
| Find all providers in zip 80209 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1346849957 | Brittany Elizabeth Driscoll | Physician Assistant | 3056 S Grape Way, Denver, CO 80222-6810 | 2020-10-23 |
| 1912506528 | Christina Walley | Physician Assistant | 1111 Ash St Apt 701, Denver, CO 80220-3758 | 2020-10-23 |
| 1184223794 | Mckenzie Grace | Physician Assistant | 50 N Clarkson St Apt 205, Denver, CO 80218-3739 | 2020-10-23 |
| 1679183909 | Skye Smock | Physician Assistant | 3704 Dexter St, Denver, CO 80207-1045 | 2020-08-02 |
| 1558982397 | Aubrey Leigh Griffiths | Physician Assistant | 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 | 2020-05-04 |
| 1629616438 | Danielle Lacy | Physician Assistant | 5033 Tucson Way, Denver, CO 80239-4339 | 2019-12-12 |
| 1811531189 | Valerie C Sarni | Physician Assistant | 5974 Central Park Blvd, Denver, CO 80238-3993 | 2019-10-30 |
| 1578105615 | Mackenzie Dwyer | Physician Assistant | 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 | 2019-10-10 |
| 1871149831 | Miles Saenger | Physician Assistant | 6127 S Hwy 16, Denver, NC 28037-9220 | 2019-08-15 |
| Find all providers in DENVER | ||||
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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.