Patrick W Logan (NPI# 1790896066, PAC ID# 0345328274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1790896066 |
PAC ID by PECOS | 0345328274 |
Professional Enrollment ID | I20080417000550 |
Full Name | Patrick W Logan |
Address |
530 Winnetka Ave Winnetka IL 60093-4023 |
Phone Number | 8474416869 |
Gender | M |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
Address | Phone | Organization |
---|---|---|
530 Winnetka Ave, Winnetka, IL 60093-4023 | 8474416869 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 83% | |
MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 46% | |
MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 46% | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 4% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
MIPS_EC_113_overall | Colorectal Cancer Screening | 46% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 39% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 13% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 88% |
Street Address |
530 WINNETKA AVE |
City | WINNETKA |
State | IL |
Zip | 60093-4023 |
Name | Specialty | Organization | Address |
---|---|---|---|
David R Donnersberger | Internal Medicine | 530 Winnetka Ave, Winnetka, IL 60093-4023 | |
Robert M Magrisso | Internal Medicine | 530 Winnetka Ave, Winnetka, IL 60093-4023 | |
Claire E Kenneally | Internal Medicine | 530 Winnetka Ave, Winnetka, IL 60093-4023 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary L Phillips | Psychologist, Clinical | 550 Sunset Ridge Rd, Northfield, IL 60093-1027 | |
Nathan N Birnberg | Psychiatry | 778 Frontage Rd, Suite 111, Northfield, IL 60093-1209 | |
Debra M Beyer | Physical Therapy | 778 W Frontage Rd, Suite 112, Northfield, IL 60093-1209 | |
Elizabeth F Feldman | Psychologist, Clinical | 778 W Frontage Rd, Suite 115, Northfield, IL 60093-1209 | |
Arnold M Ordman | Psychologist, Clinical | 778 W Frontage Rd, Suite 123, Northfield, IL 60093-1209 | |
Robert L Richart Jr. | Chiropractic | 2 Northfield Plz, Suite 204, Northfield, IL 60093-1217 | |
Vicki L Shaffer | Clinical Social Worker | 550 W Frontage Rd, Suite 2730, Northfield, IL 60093-1259 | |
Sarah Mcginn | Physical Therapy | Dynamic Physical Therapy, Inc. | 914 Green Bay Rd, Suite 202, Winnetka, IL 60093-1701 |
Kate Mckechnie | Physical Therapy | Dynamic Physical Therapy, Inc. | 914 Green Bay Rd, Suite 202, Winnetka, IL 60093-1701 |
Kimberly S Hassenfeld | Clinical Social Worker | Counseling Center of The North Shore Inc | 992 /2 Green Bay Rd, Winnetka, IL 60093-1722 |
Find all physicians in zip 60093 |
City | WINNETKA |
Zip Code | 60093 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WINNETKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Patrick W Logan.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.