Logan C Sondrup (NPI# 1629294004, PAC ID# 0345393351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1629294004 |
| PAC ID by PECOS | 0345393351 |
| Professional Enrollment ID | I20101005000143 |
| Full Name | Logan C Sondrup |
| Organization Legal Name | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
| Address |
8280 W Warm Springs Rd Las Vegas NV 89113-3612 |
| Phone Number | 7024928000 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4880684554 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290053 | ST ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS |
| 290047 | SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 7022255025 | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
| 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 | 7024928000 | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
| Organization Legal Name | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Jessica Primerano | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
| John R Henner | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3325 S Fort Apache Rd, Las Vegas, NV 89117-6360 |
| Michael Tang | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| John Patrick-neafsey Jobes | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Jon J Juhasz | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
| Joeann K Leong | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 9300 W Sunset Rd, Las Vegas, NV 89148-4844 |
| Suzanne M Roozendaal | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
| Patrick H Flores | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Mark Alan Macedo | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Heidi A Kabler | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Street Address |
8280 W WARM SPRINGS RD |
| City | LAS VEGAS |
| State | NV |
| Zip | 89113-3612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gar W Chung | Internal Medicine | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 | |
| Trent Thomas Richardson | Internal Medicine | Bessler Md Pllc | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Randy Flores | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| August W Chang | Anesthesiology | Nevada Anesthesiology Partners LLP | 8280 W Warm Springs Rd, St Rose Dominican Hospital San Martin, Las Vegas, NV 89113-3612 |
| Nam Hoon Park | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Hasan Khawaja | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Andres F Sepulveda Estrada | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Scott Vinh Duong | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Lisa A Wilson | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Eric Sorensen | Anesthesiology | Red Rock Anesthesia Consultants LLC | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashraf M Mohammed | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Edward Makarewicz | Internal Medicine | Pioneer Health Care LLC | 1800 W Charleston Blvd, Las Vegas, NV 89113 |
| Radhika R Janga | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Emerlinda M Sambo | Nurse Practitioner | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Benjamin S Rudnitsky | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Haider Alhaidari | Hospitalist | Pioneer Health Care LLC | 1800 W Charleston Blvd, Las Vegas, NV 89113 |
| Ma Cecilia J Gatan | Nurse Practitioner | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Arvin Gupta | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Michael Lee | Internal Medicine | Pioneer Health Care LLC | 1800 W Charleston Blvd, Las Vegas, NV 89113 |
| Francine M Heretakis | Clinical Social Worker | 4955 S Durango Dr, Suite 179, Las Vegas, NV 89113-0155 | |
| Find all physicians in zip 89113 | |||
| City | LAS VEGAS |
| Zip Code | 89113 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAS VEGAS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Logan C Sondrup.
| 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.