Andrew G Logan MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME58685 Issued in FL

Legal business name

ANDREW G LOGAN MD PA

Practice address

7401 N University Dr
Suite 201
Tamarac, FL 33321-2979

Phone

(954) 724-5100

Fax

(954) 724-5121

NPI assigned

Feb 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Logan, MD

Title

Owner

Phone

(954) 724-5100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1013156538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212979",
            "telephone_number": "954-724-5100",
            "fax_number": "954-724-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212979",
            "telephone_number": "954-724-5100",
            "fax_number": "954-724-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW G LOGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-724-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME58685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.