| Logan Adam Forgey, | |
|
4202 E Fowler Ave, Tampa, FL 33620-8000 | |
| (813) 974-2011 | |
| Not Available |
| Full Name | Logan Adam Forgey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4202 E Fowler Ave, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124772272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9424548 (Florida) | Primary |
| Entity Name | First Colonies Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119 |
| Entity Name | Northstar Anesthesia Of Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528747490 PECOS PAC ID: 4284085796 Enrollment ID: O20240109004068 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Adam Forgey, 70 Davis Blvd Apt 2, Tampa, FL 33606-3418 Ph: (352) 727-9087 | Logan Adam Forgey, 4202 E Fowler Ave, Tampa, FL 33620-8000 Ph: (813) 974-2011 |
Robert David Morse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Jessica L Zavesky, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Jamie Wolff, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12912 Usf Health Dr., Tampa, FL 33612 Phone: 813-974-2191 | |
Gina Marie Barber, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 E 9th Ave, Tampa, FL 33605 Phone: 813-844-7000 | |
Dr. Alexandra Campbell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Marlo Javier Molina Zamora, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 Fax: 813-449-8618 | |
Ann Coursey Gorrie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4016 W De Leon St, Tampa, FL 33609 Phone: 202-361-3012 |