Active NPI
Douglas Logel
- Audiologist-Hearing Aid Fitter
- Muskegon, MI
National Provider Identifier
1285671164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1601000414
- Practice address
- 1675 Leahy St
Ste 109
Muskegon, MI 49442-5500 - Phone
- (231) 728-5720
- Fax
- (231) 728-5721
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000414 | MI | Primary |
Addresses
Primary practice location
1675 Leahy St
Ste 109
Muskegon, MI 49442-5500
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (888) 510-0766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904557297 | Medicaid | MI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonus-USA, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Grand Hearing Center LLC | Past | Accepting new patients | |
| Five CS Communication Care PLC | Past | Accepting new patients |
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.
-
- Hearing Aid Equipment
- Portland, MI
- NPI 1437417409
-
dba Audiology Center of St. Johns
- Audiologist
- Saint Johns, MI
- NPI 1629595806
-
- Audiologist-Hearing Aid Fitter
- Eugene, OR
- NPI 1780765099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1285671164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464103",
"telephone_number": "888-510-0766",
"fax_number": "763-268-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LEAHY ST",
"address_2": "STE 109",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425500",
"telephone_number": "231-728-5720",
"fax_number": "231-728-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGEL",
"first_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904557297",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.