Active NPI
Gregory Logsdon, M.D.
- Diagnostic Radiology Physician
- Orlando, FL
National Provider Identifier
1922005966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME61587
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 200-2355
- NPI assigned
- Jul 6, 2005
- Last updated
- Jan 31, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | ME61587 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME61587 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 200-2355
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14887 | Other | FL | BCBS OF FLORIDA |
| 300032799 | Other | FL | RR MEDICARE |
| 370023200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Imaging at Lake Mary LLC | Diagnostic Radiology | Past | Accepting new patients |
| Singleton Associates PA | Pediatric Radiology | Past | Accepting new patients |
| Medical Center Radiology Group of DRS Curry Harding George & Eliscu | Pediatric Radiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- glogsdon56554@adventhealth.direct-ci.com
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 Florida Radiology Imaging at Universal Center
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1003983610
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1902965536
Pediatric Radiology
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Pediatric Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1922005966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-200-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-200-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "GREGORY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "FL",
"license": "ME61587",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME61587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "14887",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300032799",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370023200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.