DR. MARK DAVID LOGSDON (NPI# 1669479853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669479853 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID LOGSDON |
| Credential | M.D. |
| Practice Address |
2825 Capitol Ave Ste 502 Sacramento CA 95816 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9164546600 |
| Practice Fax Number | 9164546618 |
| Mailing Telephone | 8004700071 |
| Mailing Fax Number | 9167317877 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G84635 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2825 CAPITOL AVE STE 502 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619136835 | Arta Monir Monjazeb | Radiology | 4501 X Street, G120, Uc Davis Health System Department of Radiation Oncology, Sacramento, CA 95817-0000 | 2008-06-03 |
| 1780863340 | Megan Eileen Daly | Radiology | 4501 X St # G140, Department of Radiation Oncology, Sacramento, CA 95817-2229 | 2007-10-31 |
| 1235148495 | Vincent John Lee | Radiology | 8100 Bruceville Rd, Sacramento, CA 95823-2353 | 2006-08-05 |
| 1235152232 | Richard K. Valicenti | Radiology | 4501 X Street, Ground Floor, Sacramento, CA 95817-2229 | 2006-07-25 |
| 1457334534 | Tony S Quang | Radiology | 4501 X St Ste 0140, Sacramento, CA 95817-2229 | 2005-11-22 |
| 1164420808 | Harvey Brian Wolkov | Radiology | 2800 L St, Sacramento, CA 95816-5616 | 2005-07-07 |
| 1952308041 | Garrick Chi-rey Chang | Radiology | 2801 K St Ste 502, Sacramento, CA 95816-5119 | 2005-07-05 |
| 1710983358 | Susan Weishenn Lee | Radiology | 4001 J St, Sacramento, CA 95819-3626 | 2005-06-27 |
| 1285011254 | Ky Nam Bao Nguyen | Radiology | 4501 X St, G140, Sacramento, CA 95817-2229 | 2015-04-29 |
| 1336585215 | Xiao Zhao | Radiology | 4501 X St, Sacramento, CA 95817-2229 | 2013-05-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.