| Logan Thomas Smith, CNP | |
|
1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 | |
| (419) 739-1980 | |
| (419) 739-1982 |
| Full Name | Logan Thomas Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1258 Bellefontaine St Ste A, Wapakoneta, 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 |
|---|---|---|---|
| 1770964157 | NPI | - | NPPES |
| 0139583 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.17702-NP (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.17702 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Troy Hospital | Troy, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Grand Lake Health System | Saint marys, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Thomas Smith, CNP 600 W Main St Ste 340, Troy, OH 45373-3384 Ph: (937) 980-7460 | Logan Thomas Smith, CNP 1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 Ph: (419) 739-1980 |
Mrs. Melissa Ann Fogt, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-738-9749 | |
Mrs. Samantha Paige Gruber, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16 E Auglaize St, Wapakoneta, OH 45895 Phone: 567-356-4400 | |
Mr. Casey Craig Counts, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Defiance St, Wapakoneta, OH 45895 Phone: 419-996-5122 Fax: 419-996-5123 | |
Haley E Zwiebel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 812 Redskin Trl Ste D, Wapakoneta, OH 45895 Phone: 419-549-5607 Fax: 419-754-2523 | |
Nicole Stephens, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Bellefontaine St Ste 100, Wapakoneta, OH 45895 Phone: 567-356-4054 Fax: 567-356-4056 | |
Kaitlin A Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Bellefontaine St Ste 100, Wapakoneta, OH 45895 Phone: 567-356-4054 Fax: 567-356-4056 | |
Michelle K. Katterheinrich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Defiance St, Wapakoneta, OH 45895 Phone: 419-996-5122 Fax: 419-996-5123 |