Individual provider Active NPI

Carl Logan, RF-H.I.S

  • Hearing Instrument Specialist
  • Bridgeville, PA
National Provider Identifier
1679987010
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
F03431 Issued in PA
Practice address
1597 Washington Pike
Bridgeville, PA 15017-2894
Phone
(412) 564-5682
Fax
(412) 564-5479
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X F03431 PA Primary

Addresses

Primary practice location

1597 Washington Pike
Bridgeville, PA 15017-2894

Mailing address

1597 Washington Pike
Suite A27
Bridgeville, PA 15017-2894
Phone (412) 564-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F03431PAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1679987010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "address_2": "SUITE A27",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172894",
            "telephone_number": "412-564-5682",
            "fax_number": "412-564-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172894",
            "telephone_number": "412-564-5682",
            "fax_number": "412-564-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "RF-H.I.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.