Active NPI
Logan Robert Basil McCall, MB,BCH,BAO
- Student in an Organized Health Care Education/Training Program
- Wheeling, WV
National Provider Identifier
1447949995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Family Medicine Center
40 Medical Park, Suite 401
Wheeling, WV 26003 - Phone
- (304) 243-3330
- Fax
- (304) 243-3891
- NPI assigned
- May 2, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Family Medicine Center
40 Medical Park, Suite 401
Wheeling, WV 26003
Mailing address
Family Medicine Center
40 Medical Park, Suite 401
Wheeling, WV 26003
Phone (304) 243-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508002396 | MA | Order and Referring Only - Sports Medicine | 4981172863 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1447949995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAMILY MEDICINE CENTER",
"address_2": "40 MEDICAL PARK, SUITE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3330",
"fax_number": "304-243-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY MEDICINE CENTER",
"address_2": "40 MEDICAL PARK, SUITE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3330",
"fax_number": "304-243-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "LOGAN",
"middle_name": "ROBERT BASIL",
"name_prefix": "Mr.",
"credential": "MB,BCH,BAO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2023-11-14",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.