DR. JOHN RYAN LOGAN (NPI# 1801059381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801059381 |
| Entity Type | Individual |
| Full Name | DR. JOHN RYAN LOGAN |
| Credential | MD |
| Practice Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Mailing Address |
1812 Shelby Ln Ocean Springs MS 39564-5055 |
| Practice Telephone | 2288095510 |
| Practice Fax Number | 2288095519 |
| Mailing Telephone | 6016248229 |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21375 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS STATE BOARD OF MEDICAL LICENSURE | 21375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447704655 | John Robert Logan | Chiropractor | 11212 82nd Pl Ne, Kirkland, WA 98034-3557 | 2016-08-05 |
| 1356672703 | John Robert Logan | Internal Medicine | 4739 W Shaw Ave Ste 108, Fresno, CA 93722-6265 | 2010-01-25 |
| 1740445295 | John A. Logan IIi | Family Medicine | 1305 N Elm St # 48, Henderson, KY 42420-2783 | 2008-07-24 |
| 1770690810 | John C Logan | Dentist | 264 S Wilson St, Casper, WY 82601-2942 | 2006-08-24 |
| 1538135868 | John Brisbane Logan | Orthopaedic Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1467015305 | John William Logan | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160-8500 | 2019-04-16 |
| 1427599182 | John Logan | Hearing Instrument Specialist | 206 W Main St, Morehead, KY 40351-1769 | 2017-03-14 |
| 1518352517 | John Wesley Logan IIi | Student in an Organized Health Care Education/Training Program | 6565 N Charles St Ste 203, Baltimore, MD 21204-5805 | 2015-04-06 |
| 1801181540 | John Logan | Counselor | 709 North Davidson Street, Tullahoma, TN 37388-2346 | 2011-06-10 |
| 1649458035 | John Colquitt Logan Jr. | Pharmacist | 1163 27th St, Columbus, GA 31904-8614 | 2008-02-07 |
| Street Address |
2101 HIGHWAY 90 |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609812833 | Celeste Durham | Dietitian, Registered | 2101 Highway 90, Gautier, MS 39553-5340 | 2006-06-22 |
| 1962994897 | John Hudson Iv | Physical Therapist | 2101 Highway 90, Gautier, MS 39553-5340 | 2018-06-06 |
| 1821580762 | Allison Crowley | Speech-Language Pathologist | 2101 Highway 90, Gautier, MS 39553-5340 | 2018-06-06 |
| 1639510142 | Joseph Chance Keys | Nurse Practitioner | 2101 Highway 90, Gautier, MS 39553-5340 | 2013-07-12 |
| 1588803225 | Allyson Perez | Nurse Anesthetist, Certified Registered | 2101 Highway 90, Gautier, MS 39553-5340 | 2009-02-19 |
| 1083893937 | Singing River Health System | Clinic/Center | 2101 Highway 90, Gautier, MS 39553-5340 | 2007-10-29 |
| 1003005133 | Singing River Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2101 Highway 90, Gautier, MS 39553-5340 | 2007-10-15 |
| 1871628180 | Gregory Paul Greer | Nurse Anesthetist, Certified Registered | 2101 Highway 90, Gautier, MS 39553-5340 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| 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 |
|---|---|---|---|---|
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1588857643 | Singing River Hospital System | Internal Medicine | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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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.