MR. LOGAN NICHOLAS WOESSNER (NPI# 1801427067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801427067 |
| Entity Type | Individual |
| Full Name | MR. LOGAN NICHOLAS WOESSNER |
| Credential | BS, CPHT |
| Practice Address |
2900 Manor Rd Apt 2219 Austin TX 78722-2156 |
| Practice Telephone | 7632500355 |
| Mailing Telephone | 7632500355 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 286746 | TX | Pharmacy Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 39821 | TX | Student, Health Care |
| Street Address |
2900 MANOR RD APT 2219 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78722-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806855 | Frontage Rsvs Pllc | Dentist | Ste. A1, 3909 N Interstate 35 Frontage Rd, Austin, TX 78722 | 2019-02-08 |
| 1649712035 | Jennifer Mcadams | Psychologist | 4207 Bradwood Rd, Austin, TX 78722 | 2016-11-16 |
| 1417362724 | Adcctx | Alzheimer Center (Dementia Center) | 4605 N 35 Hwy, Austin, TX 78722 | 2014-06-25 |
| 1821376989 | Angela Christine Desantis | Obstetrics & Gynecology | 2909 N I-35 Service Rd, Austin, TX 78722 | 2011-07-23 |
| 1457514556 | Rusty J Roberts | Chiropractor | 3823 Airport Blvd, Ste A4, Austin, TX 78722 | 2008-07-08 |
| 1962618207 | Brian Eugene Labombard | Dentist | 3851 Airport Blvd Ste#105, Austin, TX 78722 | 2007-05-15 |
| 1427193754 | Nicole Chicoine Edwards | Chiropractor | 2005 Airport Blvd, Austin, TX 78722 | 2007-02-21 |
| 1073622528 | Louis Paul Appel | Pediatrics | 2909 North Ih 35, Austin, TX 78722 | 2006-08-29 |
| 1740374347 | Beatriz Canas Smith | Clinical Nurse Specialist | 2909 N Ih 35, Austin, TX 78722 | 2006-10-03 |
| 1659721058 | Yellow Chair Counseling | Social Worker | 4315 Airport Blvd, Suite B, Austin, TX 78722-1005 | 2016-06-16 |
| Find all providers in zip 78722 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1144847773 | Rachael Tillman | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd Fl 2, Austin, TX 78723-3079 | 2020-06-30 |
| 1497370639 | Patrick Dennis Scholl | Student in an Organized Health Care Education/Training Program | 5205 Backtrail Dr, Austin, TX 78731-2668 | 2020-06-13 |
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1952924276 | Parisa Khosravi | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 # Cec300, Austin, TX 78701-1926 | 2020-05-20 |
| 1659993657 | Ayan Monpara | Student in an Organized Health Care Education/Training Program | 6007 Duncanville Pass, Austin, TX 78745-3223 | 2020-05-12 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1215566856 | Vignesh Ramachandran | Student in an Organized Health Care Education/Training Program | 2110 Cliffs Edge Dr, Austin, TX 78733-6014 | 2020-04-06 |
| Find all providers in AUSTIN | ||||
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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.