Douglas K. Logan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43241 Issued in OH

Practice address

7826 Cooper Rd
Cincinnati, OH 45242-7619

Phone

(513) 984-1000

Fax

(513) 985-2182

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

Practice roles

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.

• The Affinity Center, Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1487866232
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659585289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 SAINT THOMAS CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452303872",
            "telephone_number": "513-231-7229",
            "fax_number": "513-579-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 COOPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427619",
            "telephone_number": "513-984-1000",
            "fax_number": "513-985-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "DOUGLAS",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "43241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alawn Logan
• Amanda Logan, REGISTERED DIETITIAN
• Bonnie L Logan, MSW
• Brooke Logan, CPRS
• Clare M Logan, PA-C
• Katisha S Logan
• Kelsey Logan, MD
• Kristian Alexies Logan
• Lynelle Logan, MPAS
• Samantha Logan, LISW

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.