Christina Logan, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS016917 Issued in PA

Practice address

770 Miles Rd Ste 1
West Chester, PA 19380-1950

Phone

(610) 436-8611

NPI assigned

May 25, 2011

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Children's Hospital of Philadelphia

  dba CHOP Primary Care Doylestown

  • Pediatrics Physician
  • Doylestown, PA
  • NPI 1427148808
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1134412984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MILES RD STE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801950",
            "telephone_number": "610-436-8611",
            "fax_number": "610-436-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MILES RD STE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801950",
            "telephone_number": "610-436-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CHRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT014215",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS016917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Tyler Lobrutto, P.A.
• Samantha Locke
• Joyce M. B. Lodolce, LCSW
• Brandt S Loev, DO
• Sarah E Loew, M.S.
• Felicia Ann Lombardo, NNP-BC
• Lindsay Lombardo, PT, DPT
• Donald Stephen Long, PT
• Jacqueline Long, PT, DPT
• Madeline M Long, LMFT

• Pediatrics Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.