Gregory Benjamin Logan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8424 Issued in FL

Practice address

3400 Bee Ridge Rd
Suite 100
Sarasota, FL 34239-7243

Phone

(941) 927-1123

Fax

(941) 927-1124

NPI assigned

Jun 20, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Platinum Healthcare Physical Medicine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
  • NPI 1962727230
  NPD
• Gregory Logan DC, PA

  • Chiropractor
  • Sarasota, FL
  • NPI 1538224555
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1952506784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397243",
            "telephone_number": "941-927-1123",
            "fax_number": "941-927-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397243",
            "telephone_number": "941-927-1123",
            "fax_number": "941-927-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "GREGORY",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38183490",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Lee Lockman, PTA
• Tony Locrotondo, D.O.
• Charles J Loewe, MD
• Julia Loewi, LCSW
• Janet L. Logalbo, LCSW
• Tamara Harris Logan, D.C.
• Stephanie Lomazov, M.S. CCC-SLP
• Natalie Lynn Lombardi, CCC-SLP
• Bonni Rose London-Schlanger, RD, LD/N
• Laney London, COTA/L

• Chiropractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.