Michael J Logue, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00037654 Issued in WA

Practice address

10513 Silverdale Way NW
Ste 101
Silverdale, WA 98383

Phone

(360) 692-1848

Fax

(360) 692-1912

NPI assigned

Oct 2, 2006

Last updated

May 30, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Northwest Healthcare

  dba Occupational Medicine Associates of Kitsap

  • Specialist
  • Silverdale, WA
  • NPI 1043260185
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1083707616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10513 SILVERDALE WAY NW",
            "address_2": "STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-1848",
            "fax_number": "360-692-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 SILVERDALE WAY NW",
            "address_2": "STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-1848",
            "fax_number": "360-692-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00037654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8262529",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lo, M.D.
• Sharlene Andreah Lobo, MD
• Samantha Rae Locke
• Cicely P Locks, RN
• Brittany Lynn Logan, D.P.M
• Katie A Long
• Longs Drug Stores California Inc (Longs Drug Store)
• Lorie a Plaisance DC PS (Summit Chiropractic)
• Devin Loudon
• Candace Lounsbury, LMP

• Specialist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.