Logan Hospital and Medical Center Authority

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2267 Issued in OK

Legal business name

LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY

Practice address

301 E Waterloo Rd
Edmond, OK 73034

Phone

(405) 715-2000

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Steve Rowley

Title

Chief Executive Officer

Phone

(405) 282-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Internal Medicine and Pediatrics - Waterloo Doing business as

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1154534162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730441017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WATERLOO RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-715-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-282-6700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD8588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Internal Medicine and Pediatrics - Waterloo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Loeffler, PA-C
• Katherine Loeffler
• Teresa Diane Loftin, M.D.
• Hayden Loftis
• Ja'Naye Nicole Lofton
• Brooke Logan
• Drew London
• Caroline Long
• Erica Long
• Jacquelin Meshelle Long, BHRS CERTIFICATION

• Internal Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.