Individual provider Active NPI

Sean Raymond Logan, M.D.

  • Neurological Surgery Physician
  • Findlay, OH
National Provider Identifier
1023124377
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35051273 Issued in OH
Practice address
1501 Bright Rd
Findlay, OH 45840-5463
Phone
(419) 222-6622
Fax
(419) 224-0015
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35051273 OH Primary

Addresses

Primary practice location

1501 Bright Rd
Findlay, OH 45840-5463

Mailing address

801 Medical Dr Ste a
Lima, OH 45804-4030
Phone (419) 222-6622

Other practice location 1

801 Medical Dr Ste A
Lima, OH 45804-4030
Phone (419) 222-6622

Other identifiers 1

IdentifierTypeStateIssuer
0875683MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615003287 FL Practitioner - Neurosurgery 5890693741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wright State University Boonshoft School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian a Harris MD PAGroup PAC ID 0840261251, 3 clinicians

Practice addresses (Care Compare)

9090 Park Royal Dr
Fort Myers, FL 33908-9616
Phone 2399363344213

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35051273OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian a Harris MD PA CurrentSince Jun 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dermatology Group of Florida, P.a. Past Accepting new patients

Locations

9090 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 936-3344

Interoperability endpoints

  • Direct secure messaging: sean.logan@oio.eclinicaldirectplus.com
  • Direct secure messaging: slogan@dcm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023124377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044030",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BRIGHT RD",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458405463",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458044030",
            "country_code": "US",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "SEAN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35051273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.