LOGAN M BARKLEY (NPI# 1003421603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003421603 |
| Entity Type | Individual |
| Full Name | LOGAN M BARKLEY |
| Credential | PA-C |
| Practice Address |
2560 24th St Ste 201 Rock Island IL 61201-5390 |
| Mailing Address |
2650 Warrenville Rd Ste 280 Downers Grove IL 60515-2075 |
| Practice Telephone | 3097793111 |
| Mailing Telephone | 6303247934 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2560 24TH ST STE 201 |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-5390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1295797884 | Cheryl Lee Benson | Physician Assistant | 2525 24th Street, Suite 101, Rock Island, IL 61201 | 2006-04-06 |
| 1174503726 | Mary Jo Bloominger | Physician Assistant | 2550 24th St, Rock Island, IL 61201-5304 | 2006-01-19 |
| 1568097244 | Elizabeth Diane Dassow | Physician Assistant | 2570 24th St Ste 124, Rock Island, IL 61201-5394 | 2020-03-03 |
| 1982160313 | Megan Flexsenhar | Physician Assistant | 2701 17th St, Rock Island, IL 61201-5351 | 2019-02-11 |
| 1932612140 | Amber Kay Gipple | Physician Assistant | 2701 17th St, Rock Island, IL 61201-5351 | 2017-11-09 |
| 1306215934 | Mackenzie Hopkins | Physician Assistant | 2701 17th St, Rock Island, IL 61201-5351 | 2015-09-24 |
| 1801277850 | Lydia Madden | Physician Assistant | 2701 17th St, Rock Island, IL 61201-5351 | 2015-06-16 |
| 1912234220 | Brett G Josie | Physician Assistant | 2202 18th Ave, Rock Island, IL 61201-3614 | 2009-11-06 |
| 1225119167 | Jonathan E Baldwin | Physician Assistant | 2701 17th St, Rock Island, IL 61201-5351 | 2006-10-18 |
| Find all providers in ROCK ISLAND | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
Please comment or provide details below to improve the information on LOGAN M BARKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.