DR. KENNETH D LOGAN (NPI# 1962407825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962407825 |
| Entity Type | Individual |
| Full Name | DR. KENNETH D LOGAN |
| Credential | MD |
| Practice Address |
15151 Little Ron Rd Chico CA 95973-9455 |
| Mailing Address |
236 W East Ave Pmb 252 Chico CA 95926-7235 |
| Practice Telephone | 5305712034 |
| Practice Fax Number | 5308964893 |
| Mailing Telephone | 5305712034 |
| Mailing Fax Number | 5308964893 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G50800 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G508000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467406827 | Kenneth Owen Logan | Chiropractor | 24 Waleska St, Suite 100, Canton, GA 30114-2739 | 2006-05-20 |
| 1003013491 | Kenneth Alan Logan | Psychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2007-06-28 |
| Street Address |
15151 LITTLE RON RD |
| City | CHICO |
| State | CA |
| Zip Code | 95973-9455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066997 | Jennifer Ballintine | Dietitian, Registered | 2511 Navarro Drive, Chico, CA 95973 | 2018-06-11 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1699298323 | Wyatt Pforsich | Student in an Organized Health Care Education/Training Program | 4038 Augusta Ln, Chico, CA 95973 | 2017-07-25 |
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
| 1376090944 | Sarah Scharf | Behavioral Analyst | 15 Declaration Dr., Chico, CA 95973 | 2016-09-01 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1013251404 | Brigette Marie Brown | Speech-Language Pathologist | 2870 Cactus Ave, Chico, CA 95973 | 2012-11-26 |
| Find all providers in zip 95973 | ||||
| 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 |
|---|---|---|---|---|
| 1336771088 | Florence Wellness PC | Family Medicine | 1802 Foundation Ln Ste 225, Chico, CA 95928-9217 | 2020-02-11 |
| 1144581554 | Tiffany Carlson | Family Medicine | 114 Mission Ranch Blvd Ste 10, Chico, CA 95926-5137 | 2012-06-01 |
| 1225368566 | Wallace Dodds Crosby | Family Medicine | 1378 Vallombrosa Ave, Chico, CA 95926-2956 | 2010-01-08 |
| 1588792139 | Ann Emily Morrissey | Family Medicine | Csuc Student Health Service, 400 West 1st Street #777, Chico, CA 95929-0001 | 2007-03-02 |
| 1265596282 | Kurt E Johnson Md A Medical Corporation | Family Medicine | 1026 Mangrove Ave Ste 10, Chico, CA 95926-3509 | 2006-12-21 |
| 1336207778 | David Elliot Altman | Family Medicine | 20 Constitution Dr, Suite #b, Chico, CA 95973-4906 | 2006-12-05 |
| 1912084211 | Michael Joseph Ricci | Family Medicine | 774 East Ave, Chico, CA 95926-1253 | 2006-11-01 |
| 1801901798 | Collaborative Health Ca | Family Medicine | 572 Rio Lindo Ave Ste 104, Chico, CA 95926-1851 | 2006-08-20 |
| 1013970342 | Terrance J Foster Medical Corp | Family Medicine | 274 Cohasset Rd, Suite100, Chico, CA 95926-2236 | 2006-04-08 |
| 1710940044 | Rhonda Louise Carlson | Family Medicine | 150 Amber Grove Dr, Suite 152, Chico, CA 95973-5879 | 2006-04-08 |
| Find all providers in CHICO | ||||
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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.