Matthew J Logalbo (NPI# 1295950962, PAC ID# 7012055783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295950962 |
| PAC ID by PECOS | 7012055783 |
| Professional Enrollment ID | I20091118000032 |
| Full Name | Matthew J Logalbo |
| Organization Legal Name | COUNTRY DOCTOR COMMUNITY CLINIC |
| Address |
2101 E Yesler Way Suite 150 Seattle WA 98122-5959 |
| Phone Number | 2062991900 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628966173 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500027 | SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD |
| Address | Phone | Organization |
|---|---|---|
| 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 | 2062991900 | COUNTRY DOCTOR COMMUNITY CLINIC |
| 2101 E Yesler Way, Seattle, WA 98122-5959 | 2062991900 | COUNTRY DOCTOR COMMUNITY CLINIC |
| 500 19th Ave E, Seattle, WA 98112-4007 | 2082991600 | COUNTRY DOCTOR COMMUNITY CLINIC |
| Organization Legal Name | COUNTRY DOCTOR COMMUNITY CLINIC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan Vladimir Sanchez | Clinical Social Worker | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Katherine R Mayer | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Sarah Beth Hufbauer | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Mary E Curiel | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Jeffrey M Warner | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Laura A Morgan | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Patricia E Boiko | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Molly Engle | Clinical Social Worker | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Jane E King | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Richard Kovar | Family Medicine | Country Doctor Community Clinic | 500 19th Ave E, Seattle, WA 98112-4007 |
| Street Address |
2101 E YESLER WAY SUITE 150 |
| City | SEATTLE |
| State | WA |
| Zip | 98122-5959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail L Gross | Family Medicine | Country Doctor Community Clinic | 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 |
| Emily P Flynn | Family Medicine | Country Doctor Community Clinic | 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 |
| Eileen Patricia Petralia | Nurse Practitioner | Country Doctor Community Clinic | 2101 E Yesler Way, Seattle, WA 98122-5959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul F Williams | Orthopedic Surgery | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| Cynthia K Pikula | Physician Assistant | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| Richard A. Candelaria | Physician Assistant | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| John W Robertson | General Practice | Proliance Surgeons Inc Ps | 601 Bdwy, Seattle, WA 98122 |
| Jeffrey Fred Olliffe | Family Medicine | 1817 12th Ave, Seattle, WA 98122-2437 | |
| Jutta Angelika Schneider | Physical Therapy | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 | |
| Nikia Marykatherine Fenlin Antioquia | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Alana Josephine Rogers | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Karen L Greeley | Physical Therapy | 1820 12th Ave, Seattle, WA 98122-2438 | |
| Robin C Angus | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Find all physicians in zip 98122 | |||
| City | SEATTLE |
| Zip Code | 98122 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEATTLE + FAMILY MEDICINE |
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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.