Ann Drayton Logan, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01045617 Issued in IN

Practice address

8244 East US 36
Avon, IN 46123

Phone

(317) 272-3636

Fax

(317) 272-3646

NPI assigned

Oct 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

University of Louisville School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Dermatology Center PCGroup PAC ID 5496706210, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University Dermatology Center PC

  • Specialist
  • Muncie, IN
  • NPI 1578615266
  Medicare reassignment Care Compare group
• Cancer Care Group, P.C.

  • Radiation Oncology Physician
  • Indianapolis, IN
  • NPI 1659491132
  Medicare reassignment NPD
• Margaret Mary Community Hospital Inc

  dba Margaret Mary Health

  • Critical Access Hospital
  • Batesville, IN
  • NPI 1558368449
  Medicare reassignment
• Cancer Care Group, P.C.

  • Radiation Oncology Physician
  • Columbus, IN
  • NPI 1124079850
  NPD
• St. Vincent Medical Group, Inc.

  dba Ascension Medical Group St. Vincent

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1811881527
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437244597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 96TH ST",
            "address_2": "SUITE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786005",
            "telephone_number": "317-715-1800",
            "fax_number": "317-715-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 EAST US 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-3636",
            "fax_number": "317-272-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ANN",
        "middle_name": "DRAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01045617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200161210",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01045617B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamere Lewis
• Life Enrichment Counseling
• Ayo Beatrice Lincoln
• Linda Lewis Lister, M.D.
• Gloria Renee Littleton, FNP
• Lars Optimus Logdberg, M.D.
• Tayyebeh Loghmani, RD
• James Lone, RPH
• Allyson Nicole Long, PHARMD
• Marian L Longo, O.D.

• Radiation Oncology Physician in Avon, IN
• Providers in Avon, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.