Logan Orthopaedics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LOGAN ORTHOPAEDICS

Practice address

1623 Nashville St Suite 103
Russellville, KY 42276-8889

Phone

(270) 726-6384

NPI assigned

Apr 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Masoud Hamidian

Title

Owner

Phone

(270) 726-6384

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Logan Orthopaedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Logan Orthopaedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Russellville, KY
  • NPI 1871559583
  NPD tax ID

Locations

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972569630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 NASHVILLE ST SUITE 103",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768889",
            "telephone_number": "270-726-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMIDIAN",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-726-6384"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006081",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "224198",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Memorial Hospital LLC
• Logan Memorial Hospital LLC
• Logan Memorial Hospital LLC (Logan Memorial Hospital)
• Logan Memorial Hospital LLC (Logan Memorial Hospital)
• Logan Orthopaedics
• Logan Pediatrics, PLLC
• Logan Physician Practice LLC (Logan Primary Care - Russellville)
• Logan Physician Practice LLC
• Martha E Loomis, MFTA
• Lymphedema Therapy of Southern Ky LLC

• Durable Medical Equipment & Medical Supplies in Russellville, KY
• Providers in Russellville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.