Active NPI
Logan Michaeline Kwasnicka, PA-C
- Physician Assistant
- Wadsworth, OH
National Provider Identifier
1619346269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004463
- Practice address
- 1348 Sharon Copley Rd
Wadsworth, OH 44281 - Phone
- (330) 591-2444
- Fax
- (833) 740-3510
- NPI assigned
- Sep 24, 2015
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 004463 | OH | Primary |
Addresses
Primary practice location
1348 Sharon Copley Rd
Wadsworth, OH 44281
Mailing address
PO Box 62
Sharon Center, OH 44274-0062
Phone (724) 815-8511
Other names 1
- Logan Rock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004463 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Express Urgent Care Centers,LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Parma, OH
- NPI 1770993453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1619346269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "SHARON CENTER",
"state": "OH",
"postal_code": "442740062",
"telephone_number": "724-815-8511",
"fax_number": "833-740-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 SHARON COPLEY RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "44281",
"telephone_number": "330-591-2444",
"fax_number": "833-740-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASNICKA",
"first_name": "LOGAN",
"middle_name": "MICHAELINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2025-07-09",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "004463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOGAN",
"last_name": "ROCK",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wadsworth, OH
- Hayley Kowalczyk
- Nancy L Kranek, PA-C
- Barbara Y Kroehle, PCC-S
- Jason Kucharski, PT, OCS
- Angela Kulenics, LMT
- La Salette Personal Primary Health Care LLC (Margarita M Lassaletta DBA La Salette PPHC)
- Hannah Marie Lahiff, CCC-SLP
- Cynthia Kay Laikos
- Lake Anna Primary Care
- Lake County Foot & Ankle Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.