| Gregary Robert Logan, | |
|
5812 Ridge Rd, Parma, OH 44129-3161 | |
| (440) 842-6081 | |
| Not Available |
| Full Name | Gregary Robert Logan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 5812 Ridge Rd, Parma, 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 |
|---|---|---|---|
| 1770109969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.026323 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of Ohio Llc | 2961425608 | 196 |
| Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregary Robert Logan, 21851 Center Ridge Rd Ste 109, Rocky River, OH 44116-3901 Ph: (440) 331-5488 | Gregary Robert Logan, 5812 Ridge Rd, Parma, OH 44129-3161 Ph: (440) 842-6081 |
Mrs. Margaret R Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6681 Ridge Rd Ste 3000, Parma, OH 44129 Phone: 440-842-8675 | |
Megan Soeder, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12380 Plaza Dr, Suite 101, Parma, OH 44130 Phone: 216-898-8488 Fax: 216-362-0677 | |
Ms. Sandra Lorraine Gleisner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12301 Snow Rd, Parma, OH 44130 Phone: 216-621-5600 Fax: 216-479-5554 | |
Kaitlin Novak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6707 Powers Blvd Ste 203, Parma, OH 44129 Phone: 440-845-1500 Fax: 440-845-9227 | |
Tonya M Fisher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 Ridge Rd Ste 138, Parma, OH 44129 Phone: 440-340-5209 Fax: 216-243-9979 | |
Alexandria Roy, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12380 Plaza Dr Ste 101, Parma, OH 44130 Phone: 216-898-8488 Fax: 216-362-0677 | |
Kathaleen Fox, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6681 Ridge Rd Ste 206, Parma, OH 44129 Phone: 440-845-4221 |