Professional Electrophysiological Medical Services

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PROFESSIONAL ELECTROPHYSIOLOGICAL MEDICAL SERVICES

Practice address

29301 N. Dixie Ranch Rd.
Lacombe, LA 70445-2290

Phone

(985) 871-4114

Fax

(985) 871-4130

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Logan, MD

Title

Owner

Phone

(985) 871-4114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457562738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29301 N. DIXIE RANCH RD.",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704452290",
            "telephone_number": "985-871-4114",
            "fax_number": "985-871-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29301 N. DIXIE RANCH RD.",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704452290",
            "telephone_number": "985-871-4114",
            "fax_number": "985-871-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ELECTROPHYSIOLOGICAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-871-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Paulsen
• PHS Medical LLC
• Jeffrey S Pinto, MD
• Victor Vincent Pouw, M.D.
• Prestige Rehab
• Melissa Miceli Reed, RD
• Ashley Rhodes
• Kayla Roger, MS CCC-SLP
• Christopher Alan Sanchez, MD
• Richard Jerome Sanders Jr., M.D.

• Specialist in Lacombe, LA
• Providers in Lacombe, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.