Logan Gibson, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

DR.0066040 Issued in CO

Practice address

10465 Park Meadows Dr
Lone Tree, CO 80124-5319

Phone

(303) 790-1515

NPI assigned

Apr 1, 2015

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: logan.gibson@hca3.eclinicaldirectplus.com

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.

• Obstetrix Medical Group of Colorado P C

  dba Pediatrix Obstetrix Medical Group of Colorado

  • Neonatal-Perinatal Medicine Physician
  • Denver, CO
  • NPI 1700983103
  Medicare reassignment
• Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1720293251
  NPD
• Obstetrix Medical Group of Colorado P C

  dba Rocky Mountain Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Denver, CO
  • NPI 1497779276
  NPD
• Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1851907257
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1083009468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 OAKBROOK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979494",
            "telephone_number": "316-304-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245319",
            "telephone_number": "303-790-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LOGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CO",
            "license": "DR.0066040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gi Care of Colorado PLLC
• Annie Giang, DDS
• My Kiet Giang, D.O.
• Charles E Giarratana, MD
• Sarah B Gibbons, DPT
• Raul M Gierbolini, PA-C
• Arvin Singh Gill, MD
• Terri Lynn Gilliland, LMT
• Sheri L Gipson, MD
• Chelcie Gjellum, RDH, CSOM

• Pediatric Gastroenterology Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Pediatric Gastroenterology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.