Individual provider Active NPI

Angela Marie Logan, PA-C

  • Physician Assistant
  • Pleasant Hills, PA
National Provider Identifier
1710538525
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061093 Issued in PA
Practice address
695 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone
(412) 653-5556
NPI assigned
Sep 23, 2019
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061093 PA Primary

Addresses

Primary practice location

695 Clairton Blvd
Pleasant Hills, PA 15236-3811

Mailing address

4651 Doverdell Dr
Pittsburgh, PA 15236-1866
Phone (412) 260-6838

Other practice location 1

1984 Greentree Rd
Pittsburgh, PA 15220-1813
Phone (412) 343-3627

Other practice location 2

3516 Saw Mill Run Blvd
Pittsburgh, PA 15227-2720
Phone (412) 884-0327

Other practice location 3

3840 Washington Rd
Mc Murray, PA 15317-2945
Phone (724) 941-3273

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191104002458 PA Practitioner - Physician Assistant 8820320260 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061093PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Sep 23, 2019 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Sep 23, 2019 Accepting new patients
Medexpress Urgent Care PC - Pennsylvania Past Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

3840 Washington Rd
McMurray, PA 15317
Phone (724) 941-3273

1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627

3516 Saw Mill Run Blvd
Pittsburgh, PA 15227
Phone (412) 844-0327

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: alogan20831@gohealthupmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1710538525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 DOVERDELL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361866",
            "telephone_number": "412-260-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CLAIRTON BLVD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152363811",
            "telephone_number": "412-653-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1984 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152201813",
            "country_code": "US",
            "telephone_number": "412-343-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3516 Saw Mill Run Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152272720",
            "country_code": "US",
            "telephone_number": "412-884-0327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153172945",
            "country_code": "US",
            "telephone_number": "724-941-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hills, PA

Sources for this page

Verify at the official NPI Registry.