Logan A Oney, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042225 Issued in MI

Practice address

22631 Greater Mack Ave.
Suite 100
St Clair Shores, MI 48080-2055

Phone

(313) 885-2334

Fax

(313) 885-9181

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Preventive Medicine PC

  • Internal Medicine Physician
  • Grosse Pointe Woods, MI
  • NPI 1174719025
  Medicare reassignment NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1740397207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22631 GREATER MACK AVE.",
            "address_2": "SUITE 100",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802055",
            "telephone_number": "586-771-0100",
            "fax_number": "586-771-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22631 GREATER MACK AVE.",
            "address_2": "SUITE 100",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802055",
            "telephone_number": "313-885-2334",
            "fax_number": "313-885-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEY",
        "first_name": "LOGAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "042225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350282",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chima Ohaya, PHARMACIST
• Blessing N. Okoronkwo, M.D.
• Monika Elizabeth Olchawa-Begeny, M.D
• Allan Jeffrey Oleinick, D.D.S
• Kelsey Lynn Olow
• Optim Care Center LLC
• Orthodetroit PLLC
• Jennifer Osborn, LMFT
• Geoffrey D Osgood, M.D.
• James L Osiwala, D.C.

• Internal Medicine Physician in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.