Logan View Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LOGAN VIEW PEDIATRICS

Practice address

118 Dowell Ave
Bellefontaine, OH 43311-2305

Phone

(937) 593-5437

NPI assigned

Mar 25, 2006

Organization subpart

Yes

Parent organization

LOGAN VIEW, INC.As reported in NPPES

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

Authorized official

Name

Tamara Gump

Title

Chief Operating Officer

Phone

(937) 593-0245

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Logan View Family Medic

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Logan View LLC

  • Durable Medical Equipment & Medical Supplies
  • Bellefontaine, OH
  • NPI 1770542144
  NPPES parent name

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1487614152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DOWELL AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DOWELL AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112305",
            "telephone_number": "937-593-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN VIEW PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOGAN VIEW, INC.",
        "enumeration_date": "2006-03-25",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "GUMP",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "937-593-0245"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L0893154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan County Board of MRDD
• Logan County Esc
• Logan Dental Care LLC
• Logan Family Medical Center LLC
• Logan View LLC
• Larisa Lomeli
• Melanie Longbrake
• Phyllis Jane Lyons, R.N.
• Lori Maben, LPN
• Clare E Macaulay, D.D.S.

• Pediatrics Physician in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.