Active NPI
Sean Raymond Logan, M.D.
- Neurological Surgery Physician
- Findlay, OH
National Provider Identifier
1023124377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35051273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0875683 | Medicaid | OH |
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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 495 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35051273 | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian a Harris MD PA | Current | 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
- sean.logan@oio.eclinicaldirectplus.com
- 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.
-
- Dermatology Physician
- Fort Myers, FL
- NPI 1215040225
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Dermatology Physician
- South Miami, FL
- NPI 1497806459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.