Individual provider Active NPI

Logan W Hayes, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1326627290
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4549 Issued in OK
Practice address
4117 NW 122ND St Ste C
Oklahoma City, OK 73120-8878
Phone
(405) 463-3380
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4549 OK Primary

Addresses

Primary practice location

4117 NW 122ND St Ste C
Oklahoma City, OK 73120-8878

Mailing address

9917 Aztec Dr
Norman, OK 73026-5907
Phone (405) 312-7228

Other practice location 1

1215 Crossroads Blvd Ste 100
Norman, OK 73072-3359
Phone (405) 310-2715

Other practice location 2

1401 N 4th Ave Ste 106
Purcell, OK 73080-1806
Phone (405) 527-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210429001158 OK Practitioner - Physician Assistant 8426467655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1541 N Sheridan Rd
Tulsa, OK 74115-4610
Phone (918) 836-5406

36 W Memorial Rd
Suite C3
Oklahoma City, OK 73114-2312
Phone (405) 755-3110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, PA CurrentSince Jun 5, 2023 Accepting new patients
American Current Care P.a. CurrentSince Jun 5, 2023 Accepting new patients

Locations

36 W Memorial Rd
Ste C3
Oklahoma City, OK 73114
Phone (405) 755-3110

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1326627290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 AZTEC DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730265907",
            "telephone_number": "405-312-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 NW 122ND ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208878",
            "telephone_number": "405-463-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Crossroads Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723359",
            "country_code": "US",
            "telephone_number": "405-310-2715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 N 4th Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Purcell",
            "state": "OK",
            "postal_code": "730801806",
            "country_code": "US",
            "telephone_number": "405-527-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "LOGAN",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.