Logan Dege Pearl (NPI# 1447735436, PAC ID# 9739432972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447735436 |
| PAC ID by PECOS | 9739432972 |
| Professional Enrollment ID | I20181105002570 |
| Full Name | Logan Dege Pearl |
| Organization Legal Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Address |
185 Sherman Dr Saint Johnsbury VT 05819-9811 |
| Phone Number | 8027485041 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860300936 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471303 | NORTHEASTERN VERMONT REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 26 Cedar Ln, Danville, VT 05828-9751 | 8026842275 | NORTHERN COUNTIES HEALTH CARE, INC. |
| 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 | 8027485041 | NORTHERN COUNTIES HEALTH CARE, INC. |
| Organization Legal Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandy L Poginy | Nurse Practitioner | Northern Counties Health Care, Inc. | 82 Maple St, Island Pond, VT 05846 |
| Sarah Morgan | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Jeri B Wohlberg | Nurse Practitioner | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Jeniane L Rathburn | Physician Assistant | Northern Counties Health Care, Inc. | 26 Cedar Ln, Danville, VT 05828-9751 |
| Jennifer L Driver | Clinical Social Worker | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| John Raser | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Timothy H Tanner | Family Medicine | Northern Counties Health Care, Inc. | 26 Cedar Ln, Danville, VT 05828-9751 |
| Allison Marie Ebrahimi Gold | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Peter Guilfoyle | Physician Assistant | Northern Counties Health Care, Inc. | 26 Cedar Ln, Danville, VT 05828-9751 |
| Ruth M Polishuk | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Street Address |
185 SHERMAN DR |
| City | SAINT JOHNSBURY |
| State | VT |
| Zip | 05819-9811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Morgan | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Jennifer L Driver | Clinical Social Worker | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| John Raser | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Allison Marie Ebrahimi Gold | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Ruth M Polishuk | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Karen A Bonhote | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Dana C Kraus | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Lori L Koshowski | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jin Li Chan | Clinical Social Worker | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Thomas F Broderick | Family Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Adelaide Adjovu | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Joyce Vitale | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Eric Siegel | Obstetrics/gynecology | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, St Johnsbury, VT 05819-0905 |
| Claudia E Lee | Internal Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Jessica L Macleod | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Irene B Krechetoff | Internal Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Doreen J. Brado | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Kara Pitt | Obstetrics/gynecology | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Find all physicians in zip 05819 | |||
| City | SAINT JOHNSBURY |
| Zip Code | 05819 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT JOHNSBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Logan Dege Pearl.
| 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.