Martin Thomas Logsdon (NPI# 1538110424, PAC ID# 8426033127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1538110424 |
| PAC ID by PECOS | 8426033127 |
| Professional Enrollment ID | I20141211001616 |
| Full Name | Martin Thomas Logsdon |
| Organization Legal Name | LOUISVILLE DERMATOLOGY ASC PSC |
| Address |
1700 Old Bluegrass Ave Suite 300 Louisville KY 40215-1175 |
| Phone Number | 5023631841 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6901881606 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180088 | NORTON HOSPITALS, INC |
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180130 | BAPTIST HEALTH LOUISVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1700 Old Bluegrass Ave, Suite 300, Louisville, KY 40215-1175 | 5023631841 | LOUISVILLE DERMATOLOGY ASC PSC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LOUISVILLE DERMATOLOGY ASC PSC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Anne Kohler | Nurse Practitioner | Louisville Dermatology Asc Psc | 1700 Old Bluegrass Ave, Suite 300, Louisville, KY 40215-1175 |
| Street Address |
1700 OLD BLUEGRASS AVE SUITE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40215-1175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Anne Kohler | Nurse Practitioner | Louisville Dermatology Asc Psc | 1700 Old Bluegrass Ave, Suite 300, Louisville, KY 40215-1175 |
| Vanessa J Magee | Nurse Practitioner | Psf Pllc | 1700 Old Bluegrass Ave, Suite 400, Louisville, KY 40215-1176 |
| Christy L Baker | Nurse Practitioner | 1700 Old Bluegrass Ave, Suite 110, Louisville, KY 40215-1163 | |
| Denise T Dickinson | Dermatology | 1700 Old Bluegrass Ave, Suite 300, Louisville, KY 40215-1175 | |
| Lafayette G Owen | Dermatology | Associate In Dermatology and Dermatopathology Pllc | 1700 Old Bluegrass Ave, Suite 110, Louisville, KY 40215-1163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad R Schulten | Oral Surgery | Thad R. Schulten Psc | 4515 Churchman Ave, Louisville, KY 40215-1109 |
| Earl Edward Ellis | Psychologist, Clinical | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Warren E Milteer | Internal Medicine | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Ashley Hill | Qualified Speech Language Pathologist | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Tiffany R Mcintyre | Occupational Therapy | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Toufic A Fakhoury | Neurology | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Hayley Russell | Nurse Practitioner | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Ashley Newton | Nurse Practitioner | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Richard T Holt | Orthopedic Surgery | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Christopher S Ross | Occupational Therapy | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Find all physicians in zip 40215 | |||
| City | LOUISVILLE |
| Zip Code | 40215 |
| Specialty | DERMATOLOGY |
| City + Specialty | LOUISVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Martin Thomas Logsdon.
| 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.