Kelli Lynn Logue (NPI# 1225180037, PAC ID# 1850372426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225180037 |
| PAC ID by PECOS | 1850372426 |
| Professional Enrollment ID | I20040528000430 |
| Full Name | Kelli Lynn Logue |
| Organization Legal Name | PITTSBURGH KIDNEY CARE LLC |
| Address |
304 Evans Dr 302 Pennsylvania Kidney Care Ellwood City PA 16117-1492 |
| Phone Number | 4126213631 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658664578 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390147 | MONONGAHELA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 304 Evans Dr, 302 Pennsylvania Kidney Care, Ellwood City, PA 16117-1492 | 4126213631 | PITTSBURGH KIDNEY CARE LLC |
| Organization Legal Name | PITTSBURGH KIDNEY CARE LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gautam Agrawal | Nephrology | Pittsburgh Kidney Care LLC | 419 Coyle Curtain Rd, Monongahela, PA 15063-3515 |
| Nawaf I Nseir | Internal Medicine | Pittsburgh Kidney Care LLC | 1401 Forbes Ave, Suite 350, Pittsburgh, PA 15219-5143 |
| Pradeep Dhakarwal | Nephrology | Pittsburgh Kidney Care LLC | 1401 Forbes Ave, Suite 350, Pittsburgh, PA 15219-5143 |
| Lana P Bliner | Nurse Practitioner | Pittsburgh Kidney Care LLC | 419 Coyle Curtain Rd, Monongahela, PA 15063-3515 |
| Gina M Cross | Nurse Practitioner | Pittsburgh Kidney Care LLC | 419 Coyle Curtain Rd, Monongahela, PA 15063-3515 |
| Riyaj A Kasekar | Neurology | Pittsburgh Kidney Care LLC | 419 Coyle Curtain Rd, Monongahela, PA 15063-3515 |
| Jean Marie Pohlot | Physician Assistant | Pittsburgh Kidney Care LLC | 304 Evans Dr, 302 Pennsylvania Kidney Care, Ellwood City, PA 16117-1492 |
| Sudha M Nayar | Nephrology | Pittsburgh Kidney Care LLC | 1000 Bower Hill Rd, Suite 203, Pittsburgh, PA 15243-1873 |
| Robert H Ferguson | Nephrology | Pittsburgh Kidney Care LLC | 1401 Forbes Ave, Suite 350, Pittsburgh, PA 15219-5143 |
| Kelly L Keegan | Nurse Practitioner | Pittsburgh Kidney Care LLC | 419 Coyle Curtain Rd, Monongahela, PA 15063-3515 |
| Street Address |
304 EVANS DR 302 PENNSYLVANIA KIDNEY CARE |
| City | ELLWOOD CITY |
| State | PA |
| Zip | 16117-1492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Roeder | Nurse Practitioner | Upmc Community Medicine Inc | 304 Evans Dr, Lawrence County Orthopedics and Sport, Ellwood City, PA 16117-1477 |
| Lawrence F Rahall | Family Medicine | Upmc Community Medicine Inc | 304 Evans Dr, 201 Raymundo Medical Associates, Ellwood City, PA 16117-1493 |
| Eileen Moore Boyle | Internal Medicine | Upmc Community Medicine Inc | 304 Evans Dr, 201 Raymundo Medical Associates, Ellwood City, PA 16117-1493 |
| Jean Marie Pohlot | Physician Assistant | Pittsburgh Kidney Care LLC | 304 Evans Dr, 302 Pennsylvania Kidney Care, Ellwood City, PA 16117-1492 |
| Meichia Lee | Internal Medicine | Upmc Community Medicine Inc | 304 Evans Dr, Lawrence County Orthopedics and Sport, Ellwood City, PA 16117-1477 |
| Beth Ann Magnifico | Internal Medicine | Ellwood Medical Center Operations, LLC | 304 Evans Dr, Suite 401, Ellwood City, PA 16117-1478 |
| Julia L Didesiderio | Nurse Practitioner | Upmc Community Medicine Inc | 304 Evans Dr, 201 Steel City Internal Medicine, Ellwood City, PA 16117-1493 |
| Rifaat R Bassaly | Obstetrics/gynecology | Ellwood Medical Center Operations, LLC | 304 Evans Dr, Suite 401, Ellwood City, PA 16117-1478 |
| Rosalinda R Raymundo | Internal Medicine | Upmc Community Medicine Inc | 304 Evans Dr, 201 Steel City Internal Medicine, Ellwood City, PA 16117-1493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie G Randell | Occupational Therapy | Burk Physical Therapy and Rehabilitation | 1677 State Rte, Suite 65, Ellwood City, PA 16117 |
| Heather Lynne Palmer | Physical Therapy | Burk Physical Therapy and Rehabilitation | 1677 State Rte, Suite 65, Ellwood City, PA 16117 |
| Timothy Patrick Burk | Physical Therapy | Burk Physical Therapy and Rehabilitation | 1677 State Rte, Suite 65, Ellwood City, PA 16117 |
| Stephanie M Krepps | Physical Therapy | Burk Physical Therapy and Rehabilitation | 1677 State Rte, Suite 65, Ellwood City, PA 16117 |
| Carmen V Adrian | Physical Therapy | Burk Physical Therapy and Rehabilitation | 1677 State Rte, Suite 65, Ellwood City, PA 16117 |
| Adam M Shrawder | Physical Therapy | Burk Physical Therapy and Rehabilitation | 1677 State Rte, Suite 65, Ellwood City, PA 16117 |
| Rami M Ausi | Neurology | 427 Pershing St, Ellwood City, PA 16117-1236 | |
| David B Patrick | Urology | Ellwood Medical Center Operations, LLC | 724 Pershing St, Ellwood City, PA 16117-1474 |
| Peter E Volpe | Psychiatry | Ellwood Medical Center Operations, LLC | 724 Pershing St, Ellwood City, PA 16117-1474 |
| James L Gardner Jr. | General Surgery | Ellwood Medical Center Operations, LLC | 724 Pershing St, Ellwood City, PA 16117-1474 |
| Find all physicians in zip 16117 | |||
| City | ELLWOOD CITY |
| Zip Code | 16117 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELLWOOD CITY + PHYSICIAN ASSISTANT |
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| 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.