MS. SUSAN LOGAN (NPI# 1720282486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720282486 |
| Entity Type | Individual |
| Full Name | MS. SUSAN LOGAN |
| Credential | RN |
| Practice Address |
900 W Temple Ave Suite 101 Effingham IL 62401-2186 |
| Practice Telephone | 2173472500 |
| Practice Fax Number | 2173429775 |
| Mailing Telephone | 2173472500 |
| Mailing Fax Number | 2173429775 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083199962 | Susan Newell Logan | Nurse Practitioner | 1800 Saint Mary Ave, Pensacola, FL 32501-1096 | 2018-09-26 |
| 1942412077 | Susan Knepp Logan | Marriage & Family Therapist | 1201 N. China Lake Blvd., Ridgecrest, CA 93555 | 2007-05-03 |
| 1831372242 | Susan Lee Logan | Transplant Surgery | 7780 N Fresno St, Ste 100, Fresno, CA 93720-2413 | 2007-12-07 |
| 1629272885 | Susan Logan | Audiologist | 602 Oxford House, Nashville, TN 37232-0001 | 2007-06-12 |
| 1982716221 | Susan C Logan | Obstetrics & Gynecology | 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | 2006-08-31 |
| 1245278357 | Susan Logan | Nurse Anesthetist, Certified Registered | 8835 Germantown Ave, Chestnut Hill Hospital, Philadelphia, PA 19118-2718 | 2006-06-02 |
| Street Address |
900 W TEMPLE AVE SUITE 101 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448456 | Bashar Alzahabi | Emergency Medicine | 900 W Temple Ave, Ste 103, Effingham, IL 62401-2186 | 2005-09-23 |
| 1649703141 | Kayla D Mummel | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401 | 2017-04-11 |
| 1275918393 | Kari Fulk | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2015-07-30 |
| 1326464520 | Jfj Eyecare Ltd | Optometrist | 900 W Temple Ave, Suite 104 & 105, Effingham, IL 62401-2121 | 2014-03-12 |
| 1770831323 | Kevin A Calder | Surgery | 900 W Temple Ave, Effingham, IL 62401 | 2012-08-29 |
| 1003179615 | St Anthony's Memorial Hospital Sis of Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 900 W Temple Ave, Effingham, IL 62401-2121 | 2012-06-19 |
| 1083922090 | Paul D. Oltman, M.d., S.c. | Family Medicine | 900 W Temple Ave, Suite 204, Effingham, IL 62401-2121 | 2010-09-24 |
| 1811209786 | Sean R Morgan | Dentist | 900 W Temple Ave, Suite 208, Effingham, IL 62401-2121 | 2010-07-08 |
| 1154651776 | Southern Illinois Healthcare Foundation, Inc. | Dentist | 900 W Temple Ave, Suite 208, Effingham, IL 62401-2121 | 2010-01-04 |
| 1598998981 | Brandi Wood | Licensed Practical Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2009-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467813022 | Shelby Renea Overbeck | Registered Nurse | 904 Medical Park Dr, Suite 2, Effingham, IL 62401-2193 | 2016-03-10 |
| 1598005993 | Ronna R Hurren | Registered Nurse | 904 Medical Park Dr, Suite 2, Effingham, IL 62401-2193 | 2013-02-21 |
| 1114121878 | Christina Probst | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2186 | 2007-06-14 |
| 1508060252 | Cathy Raddatz | Registered Nurse | 904 Medical Park Dr, Ste 2, Effingham, IL 62401-2193 | 2007-06-14 |
| 1164626826 | Stacia A Fallert | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313249 | Kimberly Reschke | Registered Nurse | 711 N Stratford Rd, Arlington Heights, IL 60004-5835 | 2020-10-10 |
| 1124632542 | Catherine Katilius | Registered Nurse | 13112 Steeplechase Dr, New Lenox, IL 60451-1313 | 2020-09-02 |
| 1760090765 | Edwana Denise Fuller | Registered Nurse | 5319 S Indiana Ave Apt 1, Chicago, IL 60615-4712 | 2020-07-16 |
| 1245858935 | Masum Kidiwala | Registered Nurse | 8841 Major Ave, Morton Grove, IL 60053-2531 | 2020-07-08 |
| 1881239168 | Amy Bachman | Registered Nurse | 840 S Wood St Ste 435ecsb, Chicago, IL 60612-4325 | 2019-11-11 |
| 1144871120 | Danielle Schnoeker | Registered Nurse | 500 Murphysboro Rd, Chester, IL 62233-2024 | 2019-09-22 |
| 1487203659 | Chaula Patel | Registered Nurse | 894 Breeze Dr, Lake Villa, IL 60046-6688 | 2019-09-10 |
| 1235697491 | Barbara Lynn Dierking | Registered Nurse | 5700 Piasa Trl, Godfrey, IL 62035-1030 | 2019-03-06 |
| 1669967543 | Shashanna Heard | Registered Nurse | 1301 E 71st Pl Apt 1n, Chicago, IL 60619-1440 | 2018-06-25 |
| 1871007930 | Chequaleis Sargent | Registered Nurse | 2031 N Harlem Ave, Chicago, IL 60707-3280 | 2017-11-28 |
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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.