Stephen Logan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0038218 Issued in FL

Practice address

1885 Englewood Rd
Englewood, FL 34223-1822

Phone

(941) 475-8291

Fax

(941) 473-3609

NPI assigned

Jun 14, 2006

Last updated

Sep 17, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lemon Bay Physicians, P.a.

  • General Practice Physician
  • Englewood, FL
  • NPI 1275570517
  Authorized official Same address or phone
• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1326081761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 MANASOTA KEY RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342239328",
            "telephone_number": "941-475-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 ENGLEWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231822",
            "telephone_number": "941-475-8291",
            "fax_number": "941-473-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0038218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina Leonard, PHARMD
• Jessica Ann Levanti, PA-C
• Noelle Claire Lipkin, ARNP BC
• Lew A Little, MD
• Lynette M Llerena, DO
• Dianer Julieth Londono
• Lori Ann Long, O.D.
• Maria L Lopez, BCABA
• Patricia Carias Lopez
• Lori J Wesson Arnp, Inc

• Family Medicine Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.