Nickolas Logothetis, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

310796 Issued in LA

Practice address

1317 Edgewater Dr # 5300
Orlando, FL 32804-6350

Phone

(305) 735-2452

Fax

(561) 584-5551

NPI assigned

Aug 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: nlogothetis689467@direct.ochsner.org
• Direct secure messaging: nlogothetis223908@direct.myadvocateaurora.org

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1033698139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 SOUTHERN BLVD # 212773",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114337",
            "telephone_number": "718-874-7569",
            "fax_number": "561-584-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 5300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "305-735-2452",
            "fax_number": "561-584-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGOTHETIS",
        "first_name": "NICKOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "310796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel C Loftis, M.A., LMHC
• Jennifer Kristin Logan, M.D.
• Julia Ann Logan
• Sara Logan, COTA/L
• Shelia Marie Logan
• Leslie April Logrono
• Alexander Logsdon, DO
• Gregory Logsdon, M.D.
• Robert Charles Lohlein II
• Kristen C Lohser, PA-C

• Critical Care Medicine (Internal Medicine) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.