Active NPI
William J Logeman, M.D.
- Pediatric Adolescent Medicine Physician
- Oxford, OH
National Provider Identifier
1477551042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 35045684L
- Practice address
- 5141 Morning Sun Rd
Oxford, OH 45056-9629 - Phone
- (513) 523-2156
- Fax
- (513) 523-2503
- NPI assigned
- Jul 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35045684L | OH | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 35045684L | OH | Primary |
Addresses
Primary practice location
5141 Morning Sun Rd
Oxford, OH 45056-9629
Mailing address
24999 Mount Pleasant Rd
Lawrenceburg, IN 47025-9783
Phone (812) 637-2802
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130910003 | Other | OH | CARESOURCE |
| 010587697026 | Other | OH | HUMANA |
| 633854 | Other | OH | AETNA |
| 000000216596 | Other | OH | ANTHEM |
| 0647474 | Medicaid | OH | |
| 1201304 | Other | OH | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35045684L | OH | MD | Pediatrics Physician |
Interoperability endpoints
- wlogeman149054@direct.trihealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1477551042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24999 MOUNT PLEASANT RD",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470259783",
"telephone_number": "812-637-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 MORNING SUN RD",
"city": "OXFORD",
"state": "OH",
"postal_code": "450569629",
"telephone_number": "513-523-2156",
"fax_number": "513-523-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGEMAN",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35045684L",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "OH",
"license": "35045684L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "130910003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "010587697026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "633854",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000216596",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0647474",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1201304",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.