Active NPI
Logan Emergency Group LLC
- Nurse Practitioner
- Russellville, KY
National Provider Identifier
1770534752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- LOGAN EMERGENCY GROUP LLC
- Practice address
- 1625 South Nashville Road
Russellville, KY 42276-8834 - Phone
- (270) 726-4011
- NPI assigned
- May 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Schumacher, MD
- Title
- Ceo
- Phone
- (800) 893-9698
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1625 South Nashville Road
Russellville, KY 42276-8834
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65940348 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1770534752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 SOUTH NASHVILLE ROAD",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768834",
"telephone_number": "270-726-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGAN EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-893-9698",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65940348",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, KY
- Lifeline Health Care of Kentucky #3, Inc.
- Lifeline Home Health Care of Russellville, LLC
- Heather Lindenberg, MS E.D., ATC
- Logan County Board of Education
- Logan County Eye Associates
- Logan Family Practice LLC
- Logan Family Practice LLC
- Logan Memorial Hospital
- Logan Memorial Hospital
- Logan Memorial Hospital LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.