| Scott D Logan, MD | |
|
1805 27th St, Portsmouth, OH 45662-2640 | |
| (740) 356-8117 | |
| (740) 353-1214 |
| Full Name | Scott D Logan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1805 27th St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154321867 | NPI | - | NPPES |
| P00187419 | Other | OH | SOM RR MDCR PIN NO |
| 2207472 | Medicaid | OH | |
| 64029481 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35077928 (Ohio) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MC-167 (Guam) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Reserve Hospital | Cuyahoga falls, OH | Hospital |
| Clark Memorial Hospital | Jeffersonville, IN | Hospital |
| Guam Regional Medical City | Dededo, GU | Hospital |
| Three Rivers Medical Center | Louisa, KY | Hospital |
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wrh Physicians, Inc | 0840342366 | 107 |
| Norton Clark Physician Practices Llc | 0840504114 | 44 |
| Smi Imaging Llc | 3476696220 | 255 |
| Premier Imaging And Intervention Pllc | 4587562335 | 24 |
| Simonmed Imaging Florida Llc | 6608036108 | 166 |
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| T J Samson Community Hospital | 0648182600 | 136 |
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| Cumberland County Hospital Association Inc. | 9830006618 | 21 |
| Infinity Teleradiology Llc | 9830630854 | 23 |
| Guam Memorial Hospital | 5890781694 | 113 |
| Guam Healthcare Development Incorporated | 9234351776 | 174 |
| Angelina Diagnostic Radiology Associates | 1850380890 | 42 |
| Merit Radiology Pllc | 3274970256 | 23 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Entity Name | Premier Imaging And Intervention Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285633370 PECOS PAC ID: 4587562335 Enrollment ID: O20061215000344 |
| Entity Name | Wrh Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700025459 PECOS PAC ID: 0840342366 Enrollment ID: O20090714000789 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20131114000817 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20170314001646 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20170928002002 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180918003725 |
| Entity Name | Howard Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20200310000916 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20200320002803 |
| Entity Name | Howard John Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20210602003347 |
| Entity Name | Vesta Telemedicine Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20210819002487 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417045998 PECOS PAC ID: 0840107835 Enrollment ID: O20220820000109 |
| Entity Name | Norton Clark Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20221005000256 |
| Entity Name | Arh Mary Breckinridge Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962040758 PECOS PAC ID: 8123293818 Enrollment ID: O20230523000284 |
| Entity Name | Simonmed Reno Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576145 PECOS PAC ID: 5991140360 Enrollment ID: O20240608000129 |
| Entity Name | West Virginia Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093550915 PECOS PAC ID: 9133666431 Enrollment ID: O20241025003773 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott D Logan, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Scott D Logan, MD 1805 27th St, Portsmouth, OH 45662-2640 Ph: (740) 356-8117 |
Dr. Ramez A Malaty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8681 Fax: 740-353-7900 | |
Dustin Lee Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Adam David Evans, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8117 Fax: 740-353-1214 | |
Miss Jami Michelle Lyon, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7490 Fax: 740-356-7488 | |
George V Johnson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-354-5000 | |
Ryan Nichols, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8117 Fax: 740-353-1214 |