Individual provider Active NPI

Logan Thimons, PA-C

  • Physician Assistant
  • White Oak, PA
National Provider Identifier
1265138242
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1220 Lincoln Way Ste 101
White Oak, PA 15131-1642
Phone
(412) 678-8806
NPI assigned
Feb 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1220 Lincoln Way Ste 101
White Oak, PA 15131-1642

Mailing address

104 W Wallace St Apt a
Llano, TX 78643-2353
Phone (412) 735-2421

Other practice location 1

500 N Lewis Run Rd Ste 217
West Mifflin, PA 15122-3070
Phone (412) 466-3215

Other practice location 2

350 3rd St
Beaver, PA 15009-2261
Phone (724) 774-5255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231212003902 PA Practitioner - Physician Assistant 0446625289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Pennsylvania, PCGroup PAC ID 5799091690, 29 clinicians

Practice addresses (Care Compare)

1220 Lincoln Way
Suite 101
White Oak, PA 15131-1642
Phone (412) 678-8806

350 3Rd St
Beaver, PA 15009-2261
Phone (724) 774-5255

525 Jamestown St
Suite 206
Philadelphia, PA 19128-1751
Phone (215) 482-7546

631 Airport Rd
Suite 100
Hazle Township, PA 18202-3379
Phone (570) 454-7548

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
83.84
Promoting interoperability
85
Improvement activities
40
Cost
59.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatological Associates PC CurrentSince Nov 5, 2007 Accepting new patients
Dallas Endovascular PLLC PastSince Feb 1, 2023 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

500 N Lewis Run Rd
Ste 217
West Mifflin, PA 15122
Phone (412) 466-3215

1220 Lincoln Way
Ste 101
White Oak, PA 15131
Phone (412) 678-8806

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1265138242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W WALLACE ST APT A",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786432353",
            "telephone_number": "412-735-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LINCOLN WAY STE 101",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311642",
            "telephone_number": "412-678-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Lewis Run Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "West Mifflin",
            "state": "PA",
            "postal_code": "151223070",
            "country_code": "US",
            "telephone_number": "412-466-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 3rd St",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092261",
            "country_code": "US",
            "telephone_number": "724-774-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIMONS",
        "first_name": "LOGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.