NPIMap

Individual provider Active NPI

Logan Z Harding, M.D.

  • Anesthesiology Physician
  • Pueblo, CO
National Provider Identifier
1407171952
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0075351 Issued in CO
Practice address
400 W 16TH St
Pueblo, CO 81003-2745
Phone
(719) 584-4045
NPI assigned
Mar 27, 2010
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43638 AZ
Anesthesiology Physician 207L00000X DR.0075351 CO Primary

Addresses

Primary practice location

400 W 16TH St
Pueblo, CO 81003-2745

Mailing address

77 Calle Portal
Suite B260A
Sierra Vista, AZ 85635-2967
Phone (520) 515-9751

Other practice location 1

77 Calle Portal
Suite B-260A
Sierra Vista, AZ 85635-2967
Phone (520) 515-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NM, CO4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101115000929 AZ Practitioner - Anesthesiology 1759576838 Reassigns benefits to 3 organizations
I20141001002690 TX Practitioner - Anesthesiology 1759576838 Reassigns benefits to 3 organizations
I20220118000137 NM Practitioner - Anesthesiology 1759576838 Reassigns benefits to 2 organizations
I20250528003933 CO Practitioner - Anesthesiology 1759576838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0075351COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlsbad Anesthesia Services LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince May 3, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Jan 14, 2022 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Feb 1, 2021 Accepting new patients
Kingman Healthcare, Inc CurrentSince Aug 1, 2022 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Dec 1, 2021 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince May 3, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Aug 1, 2022 Accepting new patients
Westerman P R Inc Past Accepting new patients
Northwest Pain Management PLLC Past Accepting new patients
Cochise Group Anesthesia Services, LLC Anesthesiology Past Accepting new patients
Prescott Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Interoperability endpoints

  • Direct secure messaging: harding.logan@direct.azkrmc.md
  • Direct secure messaging: harding.logan@st.direct.azkrmc.md

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1407171952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL",
            "address_2": "SUITE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-515-9751",
            "fax_number": "520-515-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032745",
            "telephone_number": "719-584-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Calle Portal",
            "address_2": "Suite B-260A",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352967",
            "country_code": "US",
            "telephone_number": "520-515-9751",
            "fax_number": "520-515-9786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDING",
        "first_name": "LOGAN",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "43638",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0075351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.