Active NPI
Logan Emergency Physicians, P.C.
- Emergency Medicine Physician
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- LOGAN EMERGENCY PHYSICIANS, P.C.
- Practice address
- 1101 Michigan Ave
Logansport, IN 46947-1528 - Phone
- (574) 753-7541
- Fax
- (574) 753-1515
- NPI assigned
- Nov 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lazo Krstevski, M.D.
- Title
- President
- Phone
- (800) 377-8721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1101 Michigan Ave
Logansport, IN 46947-1528
Mailing address
PO Box 2078
Huntington, WV 25720-2078
Phone (800) 377-8721
National Provider Directory
National Provider DirectoryLocations
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Logansport, IN
- NPI 1093788457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538140942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2078",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257202078",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471528",
"telephone_number": "574-753-7541",
"fax_number": "574-753-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGAN EMERGENCY PHYSICIANS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRSTEVSKI",
"authorized_official_first_name": "LAZO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-377-8721",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
- Mary B. Lewis, N.P.
- Michael S Liebner, MD
- Stathia Lineback, LPN
- Little Helper Home Care, LLC
- Zachari Littleton
- Logansport Al, LLC
- Logansport Clinic for Women (Women's Health Center of Logansport)
- Logansport Community School Corporation
- Logansport Family Health Care PC
- Logansport Family Health Care PC (Sara Catherine Kirkwood)
Sources for this page
- 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.