Courtney L Logan (NPI# 1245679695, PAC ID# 9931334133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245679695 |
| PAC ID by PECOS | 9931334133 |
| Professional Enrollment ID | I20131024000238 |
| Full Name | Courtney L Logan |
| Organization Legal Name | ST CLOUD ORTHOPEDIC ASSOCIATES LTD |
| Address |
200 W 1st St Paynesville MN 56362-1445 |
| Phone Number | 3202437712 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143113951 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 W 1st St, Paynesville, MN 56362-1445 | 3202437712 | ST CLOUD ORTHOPEDIC ASSOCIATES LTD |
| 1901 Connecticut S Ave, Sartell, MN 56377-2554 | 3202594100 | ST CLOUD ORTHOPEDIC ASSOCIATES LTD |
| Organization Legal Name | ST CLOUD ORTHOPEDIC ASSOCIATES LTD |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefani E Burandt | Physician Assistant | St Cloud Orthopedic Associates Ltd | 1108 1st Sest, Little Falls, MN 56345-3440 |
| Trevor C Mciver | Orthopedic Surgery | St Cloud Orthopedic Associates Ltd | 1901 Connecticut S Ave, Sartell, MN 56377-2554 |
| Stephen A Mariash | Podiatry | St Cloud Orthopedic Associates Ltd | 200 Elm St, Onamia, MN 56359-7901 |
| Chad John Ritter | Physical Therapy | St Cloud Orthopedic Associates Ltd | 3315 Roosevelt Rd, Suite 200b, Saint Cloud, MN 56301-9687 |
| William P Paschke | Physician Assistant | St Cloud Orthopedic Associates Ltd | 331 Hwy 65 S, Mora, MN 55051-1899 |
| Emil P Trutwin | Physician Assistant | St Cloud Orthopedic Associates Ltd | 1901 Connecticut S Ave, Sartell, MN 56377-2554 |
| Andrea A Bobis | Physician Assistant | St Cloud Orthopedic Associates Ltd | 1901 Connecticut S Ave, Sartell, MN 56377-2554 |
| Christopher J Widstrom | Orthopedic Surgery | St Cloud Orthopedic Associates Ltd | 1901 Connecticut S Ave, Sartell, MN 56377-2554 |
| Thomas C Jensen | Physical Therapy | St Cloud Orthopedic Associates Ltd | 1901 Connecticut S Ave, Sartell, MN 56377-2554 |
| Paul J Meirick | Internal Medicine | St Cloud Orthopedic Associates Ltd | 1901 Connecticut S Ave, Sartell, MN 56377-2554 |
| Street Address |
200 W 1ST ST |
| City | PAYNESVILLE |
| State | MN |
| Zip | 56362-1445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Strate | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Wendy M Miller | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Alicia M Glimsdal | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Joseph M Fortier | Physician Assistant | St Cloud Orthopedic Associates Ltd | 200 W 1st St, Paynesville, MN 56362-1445 |
| Randy N Nelson | Internal Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Jeanne Lauderdale | Physical Therapy | Advanced Therapy Solutions, LLC | 200 W 1st St, 527 Roswell Therapy Specialist, Roswell, NM 88203-4676 |
| John K Tronnes | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Sarah J Revermann | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Janella F Fuchs | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Christopher R Anderson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Stenger | Chiropractic | Duininck Chiropractic, Pa | 208 W James St, Paynesville, MN 56362-1219 |
| Randal J Jacklitch | Chiropractic | 208 W James St, Paynesville, MN 56362-1219 | |
| Ryan O Mareck | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Nancy A Drange | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Julie K Youngs | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Timothy L Malling | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Jennifer D Dwyer | Physician Assistant | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Randall J Zimmerman | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Jane M Peterson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Heather K Swanson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Find all physicians in zip 56362 | |||
| City | PAYNESVILLE |
| Zip Code | 56362 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PAYNESVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Courtney L 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.