Logan Taylor Sicchitano, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA060050 Issued in PA

Practice address

100 Medical Blvd
Canonsburg, PA 15317-9762

Phone

(724) 745-3077

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Logan Taylor Pape Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.67 of 100Reported as group

Quality

88.24

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.3 of 100Reported as group

Quality

81.65

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.59 of 100Reported as group

Quality

88.93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Ahn Emergency Group of Canonsburg LTD.

  • Emergency Medicine Physician
  • Canonsburg, PA
  • NPI 1790100154
  Medicare reassignment
• Ahn Emergency Group of Jefferson LTD

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1235518499
  Medicare reassignment
• Ahn Emergency Group of West Penn LTD.

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1033534490
  Medicare reassignment
• Ahn Hospitalist Group, LTD

  • Internal Medicine Physician
  • Natrona Heights, PA
  • NPI 1770984304
  Medicare reassignment
• Ahn Observation Group LLC

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1437814696
  Medicare reassignment

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1124594916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 1ST ST",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "724-745-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICCHITANO",
        "first_name": "LOGAN",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "PAPE",
            "middle_name": "TAYLOR",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scriptsusa Pittsburgh LLC
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• Sophie Shephard
• Thomas Sherbondy
• Mary Silvestros, LSW
• Skraitz Chiropractic PC
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• Timothy Brian Skraitz, DC, DAAPM
• Walter P Slomiany, MD

• Physician Assistant in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.