Nelson J Loggiodice, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03948 Issued in TX

Practice address

3908 N Jackson Rd
Pharr, TX 78577-7768

Phone

(956) 502-5513

Fax

(956) 502-5514

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dilydis Inc

  • Clinic/Center
  • Pharr, TX
  • NPI 1821317843
  Medicare reassignment Authorized official
• Nuestra Clinica del Valle, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, TX
  • NPI 1053728360
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1477551471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 N JACKSON RD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777768",
            "telephone_number": "956-502-5513",
            "fax_number": "956-502-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 N JACKSON RD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777768",
            "telephone_number": "956-502-5513",
            "fax_number": "956-502-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGGIODICE",
        "first_name": "NELSON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty DME, LLC
• Lifeline Valley Care, LLC
• Lighthouse Systems, LLC
• Linda Home Care Services, LLC.
• LM Pharmacy
• Lonestar RX Las Milpas
• Marilyn Lopez-Longoria, P.A.-C
• Italy Lopez-Montemayor, IBCLC
• Brenda Lopez, B.S. SLP-ASSISTANT
• Criselda Lopez, OTR

• Physician Assistant in Pharr, TX
• Providers in Pharr, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.