Logan Orthopaedics

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

LOGAN ORTHOPAEDICS

Practice address

1623 Nashville St
Russellville, KY 42276-8889

Phone

(270) 726-6384

NPI assigned

Apr 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Masoud HamidianNPI 1972710002

Title

Owner

Phone

(270) 726-6384

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Masoud Hamidian M.D. Other name

Tax ID family

Logan Orthopaedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Logan Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Russellville, KY
  • NPI 1972569630
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Masoud Hamidian, MD

  • Orthopaedic Surgery Physician
  • Ringgold, GA
  • NPI 1972710002
  NPD (past) Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871559583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768889",
            "telephone_number": "270-726-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMIDIAN",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-726-6384"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64049299",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "224198",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masoud Hamidian M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Logan Memorial Hospital LLC (Logan Memorial Hospital)
• Logan Memorial Hospital LLC
• Logan Memorial Hospital LLC
• Logan Memorial Hospital LLC (Logan Memorial Hospital)
• Logan Memorial Hospital LLC (Logan Memorial Hospital)
• Logan Orthopaedics
• Logan Pediatrics, PLLC
• Logan Physician Practice LLC (Logan Primary Care - Russellville)
• Logan Physician Practice LLC
• Martha E Loomis, MFTA

• Sports Medicine (Orthopaedic Surgery) Physician in Russellville, KY
• Providers in Russellville, KY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.