Active NPI
Logan Henry Fairchild, DO
- Anesthesiology Physician
- West Reading, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS022631
- Practice address
- 420 S 5TH Ave
West Reading, PA 19611-2143 - Phone
- (484) 628-8269
- NPI assigned
- Jun 6, 2019
- Last updated
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS022631 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | OT019238 | PA |
Addresses
Primary practice location
420 S 5TH Ave
West Reading, PA 19611-2143
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324
Other practice location 1
4802 10th Ave
Brooklyn, NY 11219
Phone (609) 351-5555
Other practice location 2
130 S 9th St
Philadelphia, PA 19107-5233
Phone (215) 503-8890
Other practice location 3
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Other practice location 4
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Other practice location 5
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS022631 | Other | PA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950
301 S 7TH Ave
Radiology Tower Health Medical Group
West Reading, PA 19611-1442
Phone (484) 628-8112
420 S 5TH Ave
West Reading, PA 19611-2143
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 73.34
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients |
Locations
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 3
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.
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
dba Certified Registered Nurse Anesthetist - Tower Health Medical Group
- Certified Registered Nurse Anesthetist
- West Reading, PA
- NPI 1447272224
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Reading Hospital Cardiology Hamburg
- Cardiovascular Disease Physician
- West Reading, PA
- NPI 1407570880
Hospital
-
dba Reading Hospital Transplant Center
- General Acute Care Hospital
- West Reading, PA
- NPI 1467007112
-
dba Reading Hospital Gynecologic Oncology
- Gynecologic Oncology Physician
- West Reading, PA
- NPI 1528677192
Hospital
-
dba Reading Hospital Outpatient Behavioral Health Services
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
-
dba Reading Hospital Hematology Oncology
- Hematology & Oncology Physician
- West Reading, PA
- NPI 1699384016
Hospital
-
dba Reading Hospital Mobile Mammography
- Mobile Mammography Clinic/Center
- West Reading, PA
- NPI 1982349650
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1881253649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S 5TH AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196112143",
"telephone_number": "484-628-8269"
}
],
"practiceLocations": [
{
"address_1": "4802 10th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11219",
"country_code": "US",
"telephone_number": "609-351-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 S 9th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075233",
"country_code": "US",
"telephone_number": "215-503-8890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Darby",
"state": "PA",
"postal_code": "190231200",
"country_code": "US",
"telephone_number": "610-237-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Darby",
"state": "PA",
"postal_code": "190231200",
"country_code": "US",
"telephone_number": "610-237-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Darby",
"state": "PA",
"postal_code": "190231200",
"country_code": "US",
"telephone_number": "610-237-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIRCHILD",
"first_name": "LOGAN",
"middle_name": "HENRY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS022631",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT019238",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OS022631",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.