Active NPI
Logan & Peterson, PC
- Medical Specialty Clinic/Center
- Kansas City, MO
National Provider Identifier
1063613057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MDR5P
- Legal business name
- LOGAN & PETERSON, PC
- Practice address
- 428 W 42ND St
Kansas City, MO 64111-3176 - Phone
- (816) 842-2500
- Fax
- (816) 842-9980
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen E. Peterson, MD..
- Title
- VP,Treasurer
- Phone
- (816) 842-2500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MDR5P | MO | Primary |
| Medical Specialty Clinic/Center | 261QM2500X | R7B57 | MO |
Addresses
Primary practice location
428 W 42ND St
Kansas City, MO 64111-3176
Mailing address
428 W 42ND St
Kansas City, MO 64111-3176
Phone (816) 842-2500
National Provider Directory
National Provider DirectoryLocations
428 W 42nd St
Kansas City, MO 64111
Phone (816) 842-2500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Forensic Psychiatry Physician
- Kansas City, MO
- NPI 1801137377
-
- Forensic Psychiatry Physician
- Kansas City, MO
- NPI 1184965667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063613057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 W 42ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113176",
"telephone_number": "816-842-2500",
"fax_number": "816-842-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 W 42ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113176",
"telephone_number": "816-842-2500",
"fax_number": "816-842-9980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGAN & PETERSON, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VP,TREASURER",
"authorized_official_telephone_number": "816-842-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD.."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MO",
"license": "MDR5P",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MO",
"license": "R7B57",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.