Isaiah Logan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP10054656 Issued in TX

Practice address

709 Barton St
Hearne, TX 77859-3009

Phone

(979) 279-3451

Fax

(979) 595-1704

NPI assigned

Jun 11, 2015

Last updated

Sep 12, 2024By 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

Medicare fee-for-service enrollment

Enrolled in TX

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 Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ilogan@direct.nshcorp.org

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.

• Seminole Hospital District of Gaines County Texas

  dba Memorial Hospital

  • Critical Access Hospital
  • Seminole, TX
  • NPI 1821025990
  Medicare reassignment NPD
• Seminole Hospital District of Gaines County Texas

  dba Seminole Community Pharmacy

  • Community/Retail Pharmacy
  • Seminole, TX
  • NPI 1427618461
  NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232

  Family Medicine

  NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1215318696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "address_2": "ATTN: TRACI MITCHELL - ADMN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BARTON ST",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778593009",
            "telephone_number": "979-279-3451",
            "fax_number": "979-595-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ISAIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10054656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearne Pharmacy LLC
• Jessica Marian Jentsch, PTA
• Laa Drug LLC (Wilson Drug)
• Victoria Lamb
• Jerry Don Lloyd, FNP-C
• Lomf, Inc.
• Lomf, Inc. (Lean on Me Family)
• Lomf, Inc. (Lean on Me Family)
• Suzanne Mehaffey, MSN, APRN, AGACNP-BC
• Catherine O'Krafka, M.D.

• Family Medicine Physician in Hearne, TX
• Providers in Hearne, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.