Peter E. Logerfo, MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00036213 Issued in WA

Legal business name

PETER E. LOGERFO, MD, PLLC

Practice address

11025 Canyon Rd E
Suite a
Puyallup, WA 98373-4264

Phone

(253) 548-0453

Fax

(253) 548-3049

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Edward Logerfo, M.D.NPI 1902801889

Title

Physician

Phone

(253) 548-0453

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter E Logerfo, MD, PLLC

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1902801889
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1922190065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 CANYON RD E",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734268",
            "telephone_number": "253-548-0453",
            "fax_number": "253-548-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 CANYON RD E",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734264",
            "telephone_number": "253-548-0453",
            "fax_number": "253-548-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E. LOGERFO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "LOGERFO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-548-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00036213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117492",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Modalities Inc
• Kristin Kae Perkins, MS SLP
• Tasha Nicole Perkins, LMFTA
• Mark Perpose, DNP, ARNP, PMHNP-BC
• Personal Injury Imaging, LLC
• Werner H Peters, MD
• Christina Peterson, RN
• Geralyn Emma Peterson, LMHC
• Jennifer Peterson, LMP
• Jolynn Marie Peterson, LMT

• Family Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.