Organization Active NPI

Logan Medical Group LLC

Doing business as Cache Valley Endocrine & Family Medicine

  • Family Medicine Physician
  • North Logan, UT
National Provider Identifier
1023512241
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOGAN MEDICAL GROUP LLC
Doing business as
Cache Valley Endocrine & Family Medicine
First Choice OccMed
Skin - Medical Cosmetics & Laser
Practice address
2150 N Main St Ste 3
North Logan, UT 84341-1740
Phone
(435) 716-8765
Fax
(435) 915-3700
NPI assigned
Mar 21, 2018
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Dr. Christopher James Morgan, DNP, FNP-CNPI 1245550268
Title
Owner/Medical Director
Phone
(435) 716-8765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Occupational Medicine Physician 2083X0100X NU

Addresses

Primary practice location

2150 N Main St Ste 3
North Logan, UT 84341-1740

Mailing address

280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821

Other practice location 1

2150 N Main St Ste 3
North Logan, UT 84341-1740
Phone (435) 716-8765

Other practice location 2

2150 N Main St Ste 3
North Logan, UT 84341-1740
Phone (435) 716-8765

Other names 3

  • Cache Valley Endocrine & Family Medicine Doing business as
  • First Choice OccMed Doing business as
  • Skin - Medical Cosmetics & Laser Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703001738 UT Part B Supplier - Clinic/Group Practice 1759637879 Receives reassigned benefits from 2 practitioners
Practice locations: North Logan, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2146239Logan Medical Group, LLC2150 N Main St, Ste 3, N Logan, UT 84341Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

2150 N Main St
Ste 10
North Logan, UT 84341
Phone (435) 716-8765

2150 N Main St
Ste 3
North Logan, UT 84341
Phone (435) 716-8765

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1023512241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N MAIN ST STE 3",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411740",
            "telephone_number": "435-716-8765",
            "fax_number": "435-915-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 N Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "North Logan",
            "state": "UT",
            "postal_code": "843411740",
            "country_code": "US",
            "telephone_number": "435-716-8765",
            "fax_number": "435-915-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 N Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "North Logan",
            "state": "UT",
            "postal_code": "843411740",
            "country_code": "US",
            "telephone_number": "435-716-8765",
            "fax_number": "435-915-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOGAN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "435-716-8765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cache Valley Endocrine & Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Choice OccMed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skin - Medical Cosmetics & Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.