NPIMap

Individual provider Active NPI

James Logan, MD

  • Family Medicine Physician
  • Marshall, TX
National Provider Identifier
1740260140
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1529 Issued in TX
Practice address
402 S Bolivar St
Marshall, TX 75670-4110
Phone
(903) 935-9100
Fax
(903) 935-9102
NPI assigned
Jan 20, 2006
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K1529 TX Primary

Addresses

Primary practice location

402 S Bolivar St
Marshall, TX 75670-4110

Mailing address

402 S Bolivar St
Marshall, TX 75670-4110
Phone (903) 935-9100

Other identifiers 1

IdentifierTypeStateIssuer
8F3587OtherTXMEDICARE LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001446 TX Practitioner - Family Practice 3971591306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Family Practice Associates PLLCGroup PAC ID 6901803303, 3 clinicians

Practice addresses (Care Compare)

402 S Bolivar
Marshall, TX 75670-4110

402 S Bolivar St
Marshall, TX 75670-4110
Phone (903) 935-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1529TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Family Practice Associates PLLC CurrentSince Sep 1, 2006 Accepting new patients
Marshall Health Services Inc Family Medicine PastSince Sep 1, 2009 Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

402 S Bolivar St
Marshall, TX 75670
Phone (903) 927-6969

Interoperability endpoints

  • Direct secure messaging: jamesloganmd@marshallfpa.ssdirect.aprima.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.

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1740260140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S BOLIVAR ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704110",
            "telephone_number": "903-935-9100",
            "fax_number": "903-935-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S BOLIVAR ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704110",
            "telephone_number": "903-935-9100",
            "fax_number": "903-935-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "8F3587",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.