NPIMap

Individual provider Active NPI

Sarah E B Logan, M.D.

  • Family Medicine Physician
  • White River Junction, VT
National Provider Identifier
1063723153
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0012890 Issued in VT
Practice address
212 Holiday Dr
Suite 4
White River Junction, VT 05001-2040
Phone
(802) 281-6364
Fax
(802) 281-6365
NPI assigned
Jun 23, 2010
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NH
Student in an Organized Health Care Education/Training Program 390200000X CA
Family Medicine Physician 207Q00000X 042.0012890 VT Primary

Addresses

Primary practice location

212 Holiday Dr
Suite 4
White River Junction, VT 05001-2040

Mailing address

212 Holiday Dr
Suite 4
White River Junction, VT 05001-2040
Phone (802) 281-6364

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarahblogan@mahhc.cernerdirect.com WINDSOR HOSPITAL CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919002042 VT Practitioner - HospitalistPractitioner - Family PracticePractitioner - Obstetrics/Gynecology 7012136278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Family Practice PCGroup PAC ID 3971561358, 9 clinicians

Practice addresses (Care Compare)

331 Olcott Dr
Suite U3
White River Junction, VT 05001-9263
Phone (802) 295-6132

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042.0012890VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Family Practice PC Family Medicine CurrentSince Sep 5, 2023 Accepting new patients

Locations

331 Olcott Dr
Ste 3
White River Junction, VT 05001

331 Olcott Dr
Ste U3
White River Junction, VT 05001
Phone (802) 295-6132

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCIHAA/Endpoint/BCIHAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1063723153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOLIDAY DR",
            "address_2": "SUITE 4",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012040",
            "telephone_number": "802-281-6364",
            "fax_number": "802-281-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOLIDAY DR",
            "address_2": "SUITE 4",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012040",
            "telephone_number": "802-281-6364",
            "fax_number": "802-281-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "SARAH",
        "middle_name": "E B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0012890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarahblogan@mahhc.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "WINDSOR HOSPITAL CORPORATION",
            "address_1": "289 County Rd",
            "city": "Windsor",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050899000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.