Active NPI
Mary Jo Logee, M.D.
- Sports Medicine (Preventive Medicine) Physician
- Wooster, OH
National Provider Identifier
1184622912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 35061022
- Practice address
- 3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130 - Phone
- (330) 804-9712
- Fax
- (330) 804-9717
- NPI assigned
- Jul 14, 2005
- Last updated
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 35061022 | OH | Primary |
Addresses
Primary practice location
3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130
Mailing address
3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130
Phone (330) 804-9712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0891512 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1184622912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3373 COMMERCE PKWY",
"address_2": "SUITE 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917130",
"telephone_number": "330-804-9712",
"fax_number": "330-804-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3373 COMMERCE PKWY",
"address_2": "SUITE 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917130",
"telephone_number": "330-804-9712",
"fax_number": "330-804-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGEE",
"first_name": "MARY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "OH",
"license": "35061022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0891512",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.