Individual provider Active NPI

Robert Salvatore Logano, CRNA

  • Certified Registered Nurse Anesthetist
  • Worcester, MA
National Provider Identifier
1477531804
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9333173 Issued in FL
Practice address
55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002
Phone
(508) 334-3271
Fax
(508) 856-5911
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2258183 MA
Certified Registered Nurse Anesthetist 367500000X 046892-23 NH
Certified Registered Nurse Anesthetist 367500000X ARNP9333173 FL
Certified Registered Nurse Anesthetist 367500000X 9333173 FL Primary

Addresses

Primary practice location

55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002

Mailing address

26197 Palace LN Unit 101
Bonita Springs, FL 34135-6242
Phone (603) 966-8716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000423 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395792998 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9333173FLMDCertified Registered Nurse Anesthetist
046892-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Nov 5, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 17, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Nov 5, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 17, 2020 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Dec 1, 2020 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
Nashua Anesthesia Partners Past Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients
Saint Vincent Physician Services, Inc. PastSince Aug 23, 2020 Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

850 111th Ave N
Naples, FL 34108
Phone (239) 596-2557

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Networks

  • Freedom Health HMO Network

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1477531804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26197 PALACE LN UNIT 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356242",
            "telephone_number": "603-966-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3271",
            "fax_number": "508-856-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGANO",
        "first_name": "ROBERT",
        "middle_name": "SALVATORE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2258183",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "046892-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9333173",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9333173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.