Drew H. Logue, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A25519 Issued in CA

Legal business name

DREW H. LOGUE, M.D., INC.

Practice address

1329 Spanos CT
Suite C-3
Modesto, CA 95355-2806

Phone

(209) 578-3170

Fax

(209) 529-4151

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Drew H. Logue, M.D.NPI 1629001524

Title

Ceo

Phone

(209) 578-3170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Drew Henderson Logue, M.D.

  • Pulmonary Disease Physician
  • Modesto, CA
  • NPI 1629001524
  NPD (past) Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1851406581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SPANOS CT",
            "address_2": "SUITE C-3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552806",
            "telephone_number": "209-578-3170",
            "fax_number": "209-529-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SPANOS CT",
            "address_2": "SUITE C-3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552806",
            "telephone_number": "209-578-3170",
            "fax_number": "209-529-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW H. LOGUE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "LOGUE",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-578-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A25519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290011015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Draper, SLP
• Harold Stephen Draper, L.C.S.W.
• Joann Draper
• Michelle Ann Draper
• Andrew Drechny
• Drew Ho MD, Inc
• Thomas Jonathan Drew, RPH
• DRS Maher Mahdi & Sami Dental Corp
• DRS Salem and Soliman Dental Corp
• DRS. Ahmed Salem and Waleed Soliman Dental Corporation

• Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.