Melissa Sims Logan (NPI# 1164403887, PAC ID# 4880847110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1164403887 |
| PAC ID by PECOS | 4880847110 |
| Professional Enrollment ID | I20141028000803 |
| Full Name | Melissa Sims Logan |
| Organization Legal Name | BANGUS SURGICAL SPECIALISTS LLC |
| Address |
1400 Fivay Rd Hudson FL 34667 |
| Phone Number | 3178054640 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1456628296 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100256 | REGIONAL MEDICAL CENTER BAYONET POINT |
| 110001 | HAMILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 Fivay Rd, Hudson, FL 34667 | 3178054640 | BANGUS SURGICAL SPECIALISTS LLC |
| Organization Legal Name | BANGUS SURGICAL SPECIALISTS LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jillian A Stuper | Nurse Practitioner | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Bogdana Trop | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Ashley Greenfield | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Ainsley B Freshour | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Thomas R Knobl | Nurse Practitioner | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Thomas R Mcauley | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Skyler M Johnson | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| James A Wilson | General Surgery | Bangus Surgical Specialists LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Ornelia Puente | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Stacy B Sprehe | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Street Address |
1400 FIVAY RD |
| City | HUDSON |
| State | FL |
| Zip | 34667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ornelia Puente | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Robert R Winer | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ercelin V Phillips | Chiropractic | 13740 Old Dixie Hwy, Hudson, FL 34667 | |
| Stephen A Ballistrea | Chiropractic | 7236 State Rd 52, Suite 3, Bayonet Point, FL 34667 | |
| Martin R Canillas | Sports Medicine | Access Health Care Physicians LLC | 13944 Lakeshore Blvd, Suite B, Hudson, FL 34667-1431 |
| Mukeshkumar I Patel | Internal Medicine | Hernando Pasco Primary Care LLC | 13906 Lakeshore Blvd, Suite 330, Hudson, FL 34667-1487 |
| Raghu V Devabhaktuni | Psychiatry | 13908 Lakeshore Blvd, Suite 210, Hudson, FL 34667-1492 | |
| Robert A Young | Internal Medicine | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1770 | |
| Gaither G Davis | Otolaryngology | 13910 Lakeshore Blvd, Suite 120, Hudson, FL 34667-1770 | |
| James R Cuttler | Qualified Audiologist | 13910 Lakeshore Blvd, Suite 120, Hudson, FL 34667-1770 | |
| Rebecca Ann Hodges | Nurse Practitioner | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1770 | |
| Gary M Mcclernan | Podiatry | 14741 Waterway Dr, Hudson, FL 34667-3258 | |
| Find all physicians in zip 34667 | |||
| City | HUDSON |
| Zip Code | 34667 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HUDSON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Melissa Sims 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.