Individual provider Active NPI

Logan James McGhan, MD

  • Family Medicine Physician
  • Cottage Grove, OR
National Provider Identifier
1689965204
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD181244 Issued in OR
Practice address
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone
(541) 767-5200
Fax
(541) 767-5200
NPI assigned
Apr 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD181244 OR Primary

Addresses

Primary practice location

1515 Village Dr
Cottage Grove, OR 97424-9700

Mailing address

13500 Airport Rd
Boonville, CA 95415-9133
Phone (707) 895-3477

Other practice location 1

1650 Chambers St
Eugene, OR 97402-3636
Phone (541) 686-1711

Other practice location 2

180 Melton Rd
Creswell, OR 97426-9453
Phone (541) 222-7700

Other practice location 3

38843 Dexter Rd
Dexter, OR 97431-9600
Phone (541) 937-2134

Other identifiers 1

IdentifierTypeStateIssuer
1689965204MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20170517000006 OR Practitioner - Family Practice 7113229865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical Group Cottage GroveGroup PAC ID 9436060530, 11 clinicians

Practice addresses (Care Compare)

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131647CAMDMarriage & Family Therapist
MD181244ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Cottage Grove Multi-Specialty CurrentSince Dec 23, 2019 Accepting new patients
Peacehealth Multi-Specialty Current Accepting new patients
Peacehealth Medical Group Multi-Specialty CurrentSince Oct 27, 2022 Accepting new patients
Anderson Valley Ambulance Service Past Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

1515 Village Dr
Ste 220
Cottage Grove, OR 97424
Phone (541) 767-5200

180 Melton Rd
Creswell, OR 97426
Phone (541) 222-7700

38843 Dexter Rd
Dexter, OR 97431
Phone (541) 767-5200

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

Interoperability endpoints

  • Direct secure messaging: lmcghan428078@direct.peacehealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1689965204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 AIRPORT RD",
            "city": "BOONVILLE",
            "state": "CA",
            "postal_code": "954159133",
            "telephone_number": "707-895-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VILLAGE DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249700",
            "telephone_number": "541-767-5200",
            "fax_number": "541-767-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974023636",
            "country_code": "US",
            "telephone_number": "541-686-1711",
            "fax_number": "541-686-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Melton Rd",
            "address_purpose": "LOCATION",
            "city": "Creswell",
            "state": "OR",
            "postal_code": "974269453",
            "country_code": "US",
            "telephone_number": "541-222-7700",
            "fax_number": "541-895-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38843 Dexter Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "OR",
            "postal_code": "974319600",
            "country_code": "US",
            "telephone_number": "541-937-2134",
            "fax_number": "541-937-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHAN",
        "first_name": "LOGAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-30",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD181244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689965204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.