Clare M Logan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.000435 Issued in OH

Practice address

University Family Physicians Inc
141 Health Professions Building
Cincinnati, OH 45267-0001

Phone

(513) 558-4021

Fax

(513) 558-3030

NPI assigned

Oct 12, 2006

Last updated

Aug 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• University Family Physicians, Inc.

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1609842087
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1912096421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061786",
            "telephone_number": "513-245-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY FAMILY PHYSICIANS INC",
            "address_2": "141 HEALTH PROFESSIONS BUILDING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670001",
            "telephone_number": "513-558-4021",
            "fax_number": "513-558-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CLARE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.000435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PA REGISTRATION NUM",
            "identifier": "50.000435",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PA CERTIFICATION",
            "identifier": "NCCPA 890815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Loga, APRN-CNP
• Alawn Logan
• Amanda Logan, REGISTERED DIETITIAN
• Bonnie L Logan, MSW
• Brooke Logan, CPRS
• Douglas K. Logan, M.D.
• Katisha S Logan
• Kelsey Logan, MD
• Kristian Alexies Logan
• Lynelle Logan, MPAS

• Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.