Individual provider Active NPI

Logan Marie Havemann, MD

  • Obstetrics & Gynecology Physician
  • Fort Hood, TX
National Provider Identifier
1902330822
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31331 Issued in NE
Practice address
Carl R. Darnall Army Medical Center, 36065 Sante Fe Ave
Fort Hood, TX 76544
Phone
(254) 553-5319
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31331 NE Primary

Addresses

Primary practice location

Carl R. Darnall Army Medical Center, 36065 Sante Fe Ave
Fort Hood, TX 76544

Mailing address

3248 Province PT
Harker Heights, TX 76548-7152
Phone (937) 479-4691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250916002503 OH Practitioner - Obstetrics/Gynecology 3274037007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blanchard Valley Medical Practice LLCGroup PAC ID 9234168147, 72 clinicians

Practice addresses (Care Compare)

301 W Wallace St
Findlay, OH 45840-1241
Phone (419) 424-0180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31331NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Medical Practice LLC Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients

Locations

301 W Wallace St
Findlay, OH 45840
Phone (419) 424-0131

1917 S Main St
Findlay, OH 45840
Phone (419) 420-0904

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1902330822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 PROVINCE PT",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487152",
            "telephone_number": "937-479-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARL R. DARNALL ARMY MEDICAL CENTER, 36065 SANTE FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEMANN",
        "first_name": "LOGAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "31331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.