Individual provider Active NPI

Robert Joshua Logan, PA-C

  • Physician Assistant
  • Ashland, KY
National Provider Identifier
1699105304
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2372 Issued in KY
Practice address
613 23Rd St Ste 340
Ashland, KY 41101-2879
Phone
(606) 329-2888
NPI assigned
Nov 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1630 WV
Physician Assistant 363A00000X PA2372 KY Primary
Physician Assistant 363A00000X 50.006077RX OH
Physician Assistant 363A00000X 2096 WV
Physician Assistant 363A00000X TC717 KY

Addresses

Primary practice location

613 23Rd St Ste 340
Ashland, KY 41101-2879

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other identifiers 2

IdentifierTypeStateIssuer
7100515940MedicaidKY
0243582MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlogan29507@direct.kdhealth.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180801000757 KY Practitioner - Physician Assistant 6608132774 Reassigns benefits to 1 organization
I20191114002029 OH Practitioner - Physician Assistant 6608132774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2096WVMDGeneral Practice Dentistry
PA2372KYMDPhysician Assistant
TC717KYMDPhysician Assistant
50.006077RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 21, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 16, 2018 Accepting new patients
Kings Daughters Medical Specialties Inc Physician Assistant CurrentSince Jul 16, 2018 Accepting new patients

Locations

613 23rd St
Ste 440
Ashland, KY 41101
Phone (606) 329-2888

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 340
Ashland, KY 41101
Phone (606) 326-1101

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

Interoperability endpoints

  • Direct secure messaging: rlogan29507@direct.kdhealth.us

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 1

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1699105304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 340",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012879",
            "telephone_number": "606-329-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ROBERT",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-15",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1630",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2372",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006077RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2096",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100515940",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243582",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlogan29507@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "613 23rd St Ste 140",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "41101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.