Michael S Logue (NPI# 1750338919, PAC ID# 2769380575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750338919 |
| PAC ID by PECOS | 2769380575 |
| Professional Enrollment ID | I20031230000511 |
| Full Name | Michael S Logue |
| Organization Legal Name | GATEWAY CARDIOLOGY PC |
| Address |
10012 Kennerly Rd Suite 301 Saint Louis MO 63128-2197 |
| Phone Number | 3147290088 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466366372 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10012 Kennerly Rd, Suite 301, Saint Louis, MO 63128-2197 | 3147290088 | GATEWAY CARDIOLOGY PC |
| Organization Legal Name | GATEWAY CARDIOLOGY PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bassam Al Joundi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 2355 Dougherty Ferry Rd, Suite 310, St Louis, MO 63122-3325 |
| Nizar A Assi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 10012 Kennerly Rd, Suite 301, Saint Louis, MO 63128-2197 |
| Tammam Al Joundi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Liwa T Younis | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Yousef Nmi Abdulnabi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 10012 Kennerly Rd, Suite 301, Saint Louis, MO 63128-2197 |
| Street Address |
10012 KENNERLY RD SUITE 301 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63128-2197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele R Yu | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 |
| Yazan A Abdalla | Gastroenterology | St Anthony's Physician Organization | 10012 Kennerly Rd, Suite 404, Saint Louis, MO 63128-2197 |
| Jeane E Kiene | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 |
| Thomas B Morrison | Cardiovascular Disease (cardiology) | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 |
| Amy E Moran | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 |
| Lesley M Endermuhle | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 |
| Brooke N Shadel | Dermatology | Dermatological Care, Inc. | 10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197 |
| Tina L Mooney | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 403, Saint Louis, MO 63128-2197 |
| Jamie Christine Joyce | Obstetrics/gynecology | St Anthony's Physician Organization | 10012 Kennerly Rd, Suite 405, Saint Louis, MO 63128-2197 |
| Leslie E Foss | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Shephali H Wulff | Infectious Disease | Infectious Diseases PC | 330 1st Capitol Dr, Suite 260, St Charles, MO 63128 |
| Marie E Wehner | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| David Brian Seibel | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Craig Mathew Brawley | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| John D Friederich | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Michelle E Nogalski | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Yvonne M Layugan | Family Medicine | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | |
| Megan R Anna | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Christopher J Tabor | Physical Therapy | The Physical Therapy Center, Inc. | 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727 |
| Find all physicians in zip 63128 | |||
| City | SAINT LOUIS |
| Zip Code | 63128 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael S Logue.
| 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.