Organization Active NPI

Logan & Peterson, PC

  • Medical Specialty Clinic/Center
  • Kansas City, MO
National Provider Identifier
1063613057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MDR5P Issued in MO
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen E. Peterson, MD..NPI 1801137377
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.