Active NPI
Gideon Napomaikaiapau Logan, MD
- Emergency Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME154395
- Practice address
- 720 W Oak St Ste 201
Kissimmee, FL 34741-4998 - Phone
- (321) 697-1730
- Fax
- (407) 518-3923
- NPI assigned
- Mar 21, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME154395 | FL | Primary |
Addresses
Primary practice location
720 W Oak St Ste 201
Kissimmee, FL 34741-4998
Mailing address
720 W Oak St Ste 201
Kissimmee, FL 34741-4998
Phone (321) 697-1730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000
700 W Oak
Osceola Regional Medical Center
Kissimmee, FL 34741-4996
Phone (407) 846-2266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Leesburg Regional Medical Center Physician Services LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Woman Care, LLC | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Interoperability endpoints
- glogan735437@direct.shands.ufl.edu
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Leesburg, FL
- NPI 1104063114
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1336609932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W OAK ST STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414998",
"telephone_number": "321-697-1730",
"fax_number": "407-518-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W OAK ST STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414998",
"telephone_number": "321-697-1730",
"fax_number": "407-518-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "GIDEON",
"middle_name": "NAPOMAIKAIAPAU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME154395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.