Active NPI
Logan Gentry Clemons, MD
- Anesthesiology Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101265704
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-9100
- NPI assigned
- Apr 6, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101265704 | VA | |
| Anesthesiology Physician | 207L00000X | 0101265704 | VA | Primary |
| Anesthesiology Physician | 207L00000X | T3755 | TX |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
2200 Bergquist Dr
Jbsa Lackland, TX 78236-9907
Other practice location 1
2200 Bergquist Dr
Ste 1
Jbsa Lackland, TX 78236-9907
Phone (210) 916-8666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000
423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000
4510 Medical Ctr Dr
Suite 211
McKinney, TX 75069-1602
Phone (469) 541-1600
5106 W Loop 1604
San Antonio, TX 78251-4408
Phone (726) 243-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T3755 | TX | MD | Anesthesiology Physician |
| 0101265704 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Anesthesiology | Current | Accepting new patients |
| Lone Star Anesthesia Partners PLLC | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group, PLLC | Anesthesiology | Current | Accepting new patients |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Anesthesiology | Current | Accepting new patients |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
Locations
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555
123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Specialist
- McKinney, TX
- NPI 1265469357
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Anesthesiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1922531094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782369907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-9100"
}
],
"practiceLocations": [
{
"address_1": "2200 Bergquist Dr",
"address_2": "Ste 1",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782369907",
"country_code": "US",
"telephone_number": "210-916-8666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEMONS",
"first_name": "LOGAN",
"middle_name": "GENTRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101265704",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101265704",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "T3755",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.