Logan Noah Lipsch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118270 Issued in FL

Practice address

2415 University Pkwy Ste 111
Sarasota, FL 34243-2809

Phone

(941) 359-3337

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Arcadia Medical Associates PA

  • Internal Medicine Physician
  • Arcadia, FL
  • NPI 1891980215
  Medicare reassignment NPD
• Connexis Medical Services LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1699002097
  Medicare reassignment

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1679344592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NURSING HOME DR",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 111",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "941-359-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCH",
        "first_name": "LOGAN",
        "middle_name": "NOAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Liott, DC
• Jessica Lipham, N.D., D.O.M.
• Malorie Lipman, M.D.
• Pedro C Lippa, MD
• Hannah Clair Lipsch
• David Eli Lipton, MD
• Sara Marie Lipton, PHARMD
• Apolonio Alvarez Lirio III, D.M.D.
• Stephanie Lirio, M.D.
• Lisa a Jennay LMFT, LLC

• Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.