Jonathan Roy Logan, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101243177 Issued in VA

Practice address

1325 Locust Ave
Fairmont, WV 26554-1435

Phone

(304) 367-7100

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, VA

  Medicare reassignment NPD
• Emergency Physicians of Southern Virginia LLP

  • Emergency Medicine Physician
  • Galax, VA
  • NPI 1417187667
  Medicare reassignment NPD
• Ingleside Emergency Group, LLC

  • Emergency Medicine Physician
  • Low Moor, VA
  • NPI 1144712662
  Medicare reassignment NPD
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461
  NPD (past)
• Centra Medical Group Southside, LLC

  • Family Medicine Physician
  • Farmville, VA
  • NPI 1841479565
  NPD (past)
• Ecs of Virginia, Inc.

  • Emergency Medicine Physician
  • Emporia, VA
  • NPI 1821083874
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Sterling Emergency Services of Virginia Inc

  • Emergency Medicine Physician
  • Farmville, VA
  • NPI 1649265604
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1629018387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 WOOLAND BLUFFS DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541435",
            "telephone_number": "304-367-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JONATHAN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101243177",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000450-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Linderman, OTR/L
• Dorothy Lint
• Stefanie Marie Little
• Barbara A Litton Cox, MS, CCC/A
• Live.Well LLC
• Dale Allan Long
• Susie Jane Long
• Longevity Clinical LTC Associates of West Virginia, PLLC
• Kaci Longwell
• Gerardo M Lopez, MD

• Emergency Medicine Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.

Verify at the official NPI Registry.