SOUTH LOGAN MEDICAL MANAGEMENT SVCS LLC (NPI# 1992100622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992100622 |
| Entity Type | Organization |
| Organization Name | SOUTH LOGAN MEDICAL MANAGEMENT SVCS LLC |
| Other Organization Name | SOUTH LOGAN FAMILY PRACTICE |
| Practice Address |
895 S Logan St Denver CO 80209-4127 |
| Practice Telephone | 3037333764 |
| Practice Fax Number | 3037333764 |
| Mailing Telephone | 3037333764 |
| Mailing Fax Number | 3037333764 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | GEORGETTE V LAWS-WILLIS (OFFICE MANAGER) |
| Authorized Official Telephone | 3037333764 |
| Authorized Official Credential | PR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Logan Family Practice | Former Legal Business Name - Organization |
| Street Address |
895 S LOGAN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80209-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275570301 | Nathaniel J Moore | Family Medicine | 895 S Logan St, Denver, CO 80209 | 2006-05-31 |
| 1225695497 | Jeanne Rael | Social Worker | 895 S Logan St, Denver, CO 80209-4127 | 2019-05-23 |
| 1932507613 | Mednow Clinics, Inc | Clinic/Center | 895 S Logan St, Denver, CO 80209-4127 | 2014-12-12 |
| 1659789733 | South Logan Family Practice | Physician Assistant | 895 S Logan St, Denver, CO 80209-4127 | 2014-08-01 |
| 1003059452 | Dwight Duncan | Psychologist | 895 S Logan St, Denver, CO 80209-4127 | 2009-04-15 |
| 1053519868 | South Logan Family Practice Center | Family Medicine | 895 S Logan St, Denver, CO 80209-4197 | 2007-07-03 |
| 1083827224 | Shauntae T Murphy | Physician Assistant | 895 S Logan St, Denver, CO 80209-4127 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1619452489 | Open and Affordable Dental Cherry Creek Pllc | Dentist | 3773 Cherry Creek Dr, Unit 120, Denver, CO 80209 | 2018-09-27 |
| 1952894842 | Anna Rose Schwartz | Dietitian, Registered | 155 S. Madison St. Suite 328, Denver, CO 80209 | 2018-06-14 |
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1912442542 | Neil David Wright | Counselor | 121 S Madison St Ste C, Denver, CO 80209 | 2017-01-05 |
| 1336681287 | Brianne Wiese | Counselor | 359 E Bayaud Ave # 106, Denver, CO 80209 | 2016-11-09 |
| 1275910671 | Sarah Ashley Robbins | Family Medicine | 360 S Garfield St Ste 500, Denver, CO 80209 | 2015-05-05 |
| 1871992404 | Egert-kreider Dental | Dentist | 3955 E. Expostition Ave, Suite 312, Denver, CO 80209 | 2014-08-20 |
| 1811309164 | Aurora G. Burluc D.d.s, PC | Dentist | 3773 Cherry Creek Dr. North, #120, Denver, CO 80209 | 2014-05-21 |
| 1770995110 | Elizabeth Gateley | Counselor | 50 S Steele St Ste 435, Denver, CO 80209 | 2014-05-20 |
| Find all providers in zip 80209 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798937 | Colorado Addiction and Psychiatry, LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-04-16 |
| 1992337091 | Tri-county Health Department | Clinic/Center | 7000 Broadway Ste 400, Denver, CO 80221-2947 | 2020-02-06 |
| 1023405453 | Denver Naturopathic Clinic | Clinic/Center | 1181 S Parker Rd Ste 101, Denver, CO 80231-2152 | 2015-04-23 |
| 1942696885 | Supreme Healthcare Services | Clinic/Center | 3003 Krameria St, Denver, CO 80207-2832 | 2015-04-07 |
| 1508289612 | Bamboo Holdings, LLC | Clinic/Center | 3955 E Exposition Ave Ste 104, Denver, CO 80209-5031 | 2014-01-24 |
| 1063729408 | Mile Hi Immunizations, Inc | Clinic/Center | 283 Columbine St, #150, Denver, CO 80206-4707 | 2010-09-07 |
| 1356588198 | Highland Park Chiropractic | Clinic/Center | 3155 Federal Blvd, Denver, CO 80211-3744 | 2009-01-15 |
| 1174682934 | Dept. of Corrections-dwcf | Clinic/Center | 3600 Havana St, Denver, CO 80239-3266 | 2006-12-07 |
| 1902978273 | University of Denver | Clinic/Center | 2240 E Buchtel Blvd, Ritchie Center - 3rd Floor, Denver, CO 80208-0001 | 2006-11-14 |
| 1295353647 | Western Wellness Clinic LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-07-13 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on SOUTH LOGAN MEDICAL MANAGEMENT SVCS LLC.
| 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.