Active NPI
Logan W Harrison, PA-C
- Physician Assistant
- Richmond, VA
National Provider Identifier
1598519993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110009950
- Practice address
- 1213 E Clay St
Richmond, VA 23298-5071 - Phone
- (804) 828-9000
- NPI assigned
- Apr 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110009950 | VA | Primary |
Addresses
Primary practice location
1213 E Clay St
Richmond, VA 23298-5071
Mailing address
PO Box 101
Sutherland, VA 23885-0101
Other practice location 1
2495 Pocahontas Trl
Quinton, VA 23141-1637
Phone (804) 932-5500
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1598519993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "SUTHERLAND",
"state": "VA",
"postal_code": "238850101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 E CLAY ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985071",
"telephone_number": "804-828-9000"
}
],
"practiceLocations": [
{
"address_1": "2495 Pocahontas Trl",
"address_purpose": "LOCATION",
"city": "Quinton",
"state": "VA",
"postal_code": "231411637",
"country_code": "US",
"telephone_number": "804-932-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-0996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "LOGAN",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-15",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110009950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.