Ian J Logan (NPI# 1164572186, PAC ID# 3971798166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1164572186 |
| PAC ID by PECOS | 3971798166 |
| Professional Enrollment ID | I20101113000039 |
| Full Name | Ian J Logan |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Address |
2068 John Jones Rd Davis CA 95616-9711 |
| Phone Number | 5307470389 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830094515 |
| Number of Group Practice Members | 1493 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050537 | SUTTER DAVIS HOSPITAL |
| 050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
| Address | Phone | Organization |
|---|---|---|
| 2068 John Jones Rd, Davis, CA 95616-9711 | 5307470389 | SUTTER VALLEY MEDICAL FOUNDATION |
| 2800 L St, Sacramento, CA 95816-5616 | SUTTER VALLEY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Physicians | 1565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swe Than | Internal Medicine | Sutter Valley Medical Foundation | 1195 Queen Ann Dr, Sunnyvale, CA 94087-2240 |
| Manjinder Kaur | Rheumatology | Sutter Valley Medical Foundation | 1020 29th St, Sacramento, CA 95816-5173 |
| Kimberly Ann Riggs | Physical Therapy | Sutter Valley Medical Foundation | 685 Twelve Bridges Dr, Suite A, Lincoln, CA 95648-8689 |
| Andrea Lim Beyaoju | Nurse Practitioner | Sutter Valley Medical Foundation | 3161 L St, Sacramento, CA 95816-5234 |
| Anitha Choorakulam George | Nurse Practitioner | Sutter Valley Medical Foundation | 3425 Coffee Rd, Suite A2, Modesto, CA 95355-1582 |
| David Wong | Physical Therapy | Sutter Valley Medical Foundation | 420 B St, Yuba City, CA 95991-5070 |
| Julie Debra Hunt | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Lakhvir Kaur | Internal Medicine | Sutter Valley Medical Foundation | 3 Medical Plaza Dr, Roseville, CA 95661-3088 |
| Gokul Budati | Family Medicine | Sutter Valley Medical Foundation | 16911 Willow Glen Rd, Brownsville, CA 95919-9707 |
| Katherine Melissa Sadoff | Occupational Therapy | Sutter Valley Medical Foundation | 2720 Low Ct, Fairfield, CA 94534-9771 |
| Street Address |
2068 JOHN JONES RD |
| City | DAVIS |
| State | CA |
| Zip | 95616-9711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir J Sheth | Anesthesiology | Sutter Valley Medical Foundation | 2068 John Jones Rd, Davis, CA 95616-9711 |
| Robert Stewar Silva | Gastroenterology | Sutter Valley Medical Foundation | 2068 John Jones Rd, Davis, CA 95616-9711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rob Woodman | Psychologist, Clinical | 2655 Portage Bay E, Suite 8, Davis, CA 95616-0305 | |
| Louise G Bettner | Clinical Psychologist | 1903 Picasso Ave, Davis, CA 95616-0503 | |
| Michael David Ackerman | Chiropractic | 2043 Anderson Rd, Suite D, Davis, CA 95616-0676 | |
| Linda M.c. Gerner | Chiropractic | 2043 Anderson Rd, Suite D, Davis, CA 95616-0676 | |
| Alex Baker | Optometry | 2019 Anderson Rd, Suite C, Davis, CA 95616-0773 | |
| Judith I Feldman | Clinical Social Worker | 1627 Oak Ave A, Davis, CA 95616-1072 | |
| John Shelton Miller | Psychologist, Clinical | 2055 Anderson Rd, Davis, CA 95616-1210 | |
| Jerry Lee Plummer | Clinical Social Worker | 2055 Anderson Rd, Davis, CA 95616-1210 | |
| Cynthia S Yang | Clinical Social Worker | 2055 Anderson Rd, Davis, CA 95616-1210 | |
| Georg Emlein | Cardiovascular Disease (cardiology) | Sacramento Heart and Vascular Medical | 1111 Kennedy Pl, Suite 1, Davis, CA 95616-1266 |
| Find all physicians in zip 95616 | |||
| City | DAVIS |
| Zip Code | 95616 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | DAVIS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Ian J 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.