LOGAN T PORTER (NPI# 1881705762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881705762 |
| Entity Type | Individual |
| Full Name | LOGAN T PORTER |
| Other Name | LOGAN P CRANE |
| Credential | MD |
| Practice Address |
7065 Calle Ponce De Leon Navarre FL 32566-8852 |
| Practice Telephone | 8509361695 |
| Mailing Telephone | 8509361695 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME98933 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2492 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DEA | AJ1158105 | 01 |
| AK | MD24921 | 05 | |
| FL | 280075600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851775084 | Logan Porter | Social Worker | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2015-07-17 |
| Street Address |
7065 CALLE PONCE DE LEON |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-8852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801235445 | Santa Rosa Hma Physician Management, LLC | Family Medicine | 1929 Ortega St, Navarre, FL 32566-4111 | 2013-06-17 |
| 1700071693 | Holley-navarre Medical Clinic LLC | Family Medicine | 7552 Navarre Pkwy Ste 28, Navarre, FL 32566-0525 | 2007-09-13 |
| 1326232075 | Dr Zane Wesley Zimmerman LLC | Family Medicine | 4778 Erie Ave Sw, Navarre, OH 44662-9605 | 2007-09-05 |
| 1053400507 | Towpath Trail Family Medicine | Family Medicine | 1230 Market St Ne, Navarre, OH 44662 | 2006-10-12 |
| 1922100452 | Family Medicine Associates of The Gulf Coast Pllc | Family Medicine | 8990 Ortega Park Dr, Navarre, FL 32566-4141 | 2006-09-04 |
| 1285662635 | Terrance Roland Reeves | Family Medicine | 7552 Navarre Pkwy Unit 21, Navarre, FL 32566-7308 | 2006-06-28 |
| 1336195346 | Joel Rudman | Family Medicine | 7552 Navarre Pkwy Unit 28, Navarre, FL 32566-7308 | 2006-05-25 |
| 1104801141 | Pamela Jill Svendsen | Family Medicine | 7552 Navarre Pkwy, Suite 21, Navarre, FL 32566-7305 | 2005-12-13 |
| 1407837438 | Joseph Gerard Foust | Family Medicine | 8888 Navarre Pkwy, Navarre, FL 32566-3615 | 2005-11-08 |
| 1396137485 | Paul J Pandolfi | Family Medicine | 7552 Navarre Pkwy, Suite 10, Navarre, FL 32566-7305 | 2015-02-26 |
| Find all providers in NAVARRE | ||||
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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.