Mark Logan (NPI# 1720077407, PAC ID# 9436294238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1720077407 |
| PAC ID by PECOS | 9436294238 |
| Professional Enrollment ID | I20100304000462 |
| Full Name | Mark Logan |
| Organization Legal Name | MIDWEST EAR NOSE AND THROAT SURGERY PSC |
| Address |
Head and Neck Surgery Psc 1020 Professional Blvd Evansville IN 47714-8009 |
| Phone Number | 8124732060 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3173516887 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151322 | PERRY COUNTY MEMORIAL HOSPITAL |
| 150100 | ST. MARY'S HEALTH, INC. |
| 180056 | METHODIST HOSPITAL |
| 150082 | DEACONESS HOSPITAL INC |
| 150042 | GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 | 8124732060 | MIDWEST EAR NOSE AND THROAT SURGERY PSC |
| 800 N Elm St, Henderson, KY 42420-2709 | 2708272312 | MIDWEST EAR NOSE AND THROAT SURGERY PSC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 78% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | MIDWEST EAR NOSE AND THROAT SURGERY PSC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Sutton | Physical Therapy | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Ryan C Palmer | Otolaryngology | Midwest Ear Nose and Throat Surgery Psc | 800 N Elm St, Henderson, KY 42420-2709 |
| Sarah B Jacob | Otolaryngology | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Abigail Garrett | Qualified Audiologist | Midwest Ear Nose and Throat Surgery Psc | 800 N Elm St, Henderson, KY 42420-2709 |
| Sara Paige Labhart | Qualified Audiologist | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Young S Paik | Otolaryngology | Midwest Ear Nose and Throat Surgery Psc | 800 N Elm St, Henderson, KY 42420-2709 |
| Krista Ashmore | Qualified Audiologist | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Thomas B Logan | Otolaryngology | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Street Address |
HEAD AND NECK SURGERY PSC 1020 PROFESSIONAL BLVD |
| City | EVANSVILLE |
| State | IN |
| Zip | 47714-8009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Sutton | Physical Therapy | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Sarah B Jacob | Otolaryngology | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Sara Paige Labhart | Qualified Audiologist | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Krista Ashmore | Qualified Audiologist | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Thomas B Logan | Otolaryngology | Midwest Ear Nose and Throat Surgery Psc | Head and Neck Surgery Psc, 1020 Professional Blvd, Evansville, IN 47714-8009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Kenneth Hupfer | Podiatry | 3700 Bellemeade Ave, Suite 117, Evansville, IN 47714-0106 | |
| Sarah M Voelkel | Podiatry | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Lauren Janae Herron | Nurse Practitioner | St Marys Medical Group LLC | 3801 Bellemeade Ave, Evansville, IN 47714-0111 |
| Maureen Pons Kuhrt | General Surgery | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Michelle Ann Brandon | Nurse Practitioner | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Waseem Ahmad | Infectious Disease | St Marys Medical Group LLC | 3801 Bellemeade Ave, Evansville, IN 47714-0111 |
| Lynne Michelle Melchior | Nurse Practitioner | St Marys Medical Group LLC | 3801 Bellemeade Ave, 110a, Evansville, IN 47714-0111 |
| Sara A Jurado | Dermatology | St Marys Medical Group LLC | 3801 Bellemeade Ave, Evansville, IN 47714-0111 |
| Karl William Staser | Dermatology | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 120, Evansville, IN 47714-0111 |
| Bruce Max Rothschild | Rheumatology | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 300, Evansville, IN 47714-0113 |
| Find all physicians in zip 47714 | |||
| City | EVANSVILLE |
| Zip Code | 47714 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | EVANSVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mark 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.