Individual provider Active NPI

Zachary Logan

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1538521620
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67357 Issued in AZ
Practice address
6843 E Main St
Mesa, AZ 85207-8207
Phone
(480) 870-7300
Fax
(480) 870-7302
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59949 TN
Family Medicine Physician 207Q00000X 67357 AZ Primary

Addresses

Primary practice location

6843 E Main St
Mesa, AZ 85207-8207

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 315-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121002381 TN Practitioner - Family Practice 9537431051 Reassigns benefits to 1 organization
I20230127000480 AZ Practitioner - Family Practice 9537431051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4822 S Meteor
Mesa, AZ 85212-3257

6100 Sprint Pkwy
Suite 200
Leawood, KS 66211-1196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67357AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare Medical Services of Az, PC CurrentSince Aug 4, 2024 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Sep 11, 2019 Accepting new patients
Sumner Physician Practices LLC CurrentSince Sep 11, 2019 Accepting new patients
Pophealthcare Medical Services of Az, PC CurrentSince Dec 2, 2025 Accepting new patients
East Harbor Partners, P.C. CurrentSince Sep 11, 2025 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients

Locations

1438 W Broadway Rd
Ste 101
Tempe, AZ 85282
Phone (480) 524-1600

2141 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 237-5098

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

307 S Broadway St
Portland, TN 37148
Phone (615) 323-9158

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1538521620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-315-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078207",
            "telephone_number": "480-870-7300",
            "fax_number": "480-870-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "59949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "67357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.