LOGAN PRESCOTT (NPI# 1073168399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073168399 |
| Entity Type | Individual |
| Full Name | LOGAN PRESCOTT |
| Practice Address |
3545 S National Ave Springfield MO 65807-7310 |
| Mailing Address |
5650 E Farm Road 132 Springfield MO 65802-9494 |
| Practice Telephone | 4172693282 |
| Mailing Telephone | 4178802865 |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2019-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2018029949 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3545 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942194 | James E Bruton Jr. | Specialist/Technologist | 3545 S National Ave, Meyer Center, Springfield, MO 65807-7310 | 2006-06-19 |
| 1659988046 | Taylor Waller | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-09-29 |
| 1013538099 | Miranda Benson | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-05-01 |
| 1144841057 | Kevin Bruce Clinton | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-05-01 |
| 1134740178 | Rachel Lea Compere | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1841811858 | Peter Anthony Martinez | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1265053276 | Robert Brent Doss | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1992326193 | Mark L Vandersnick | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-29 |
| 1043831381 | Ronald Lee Sapp I | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| 1629699921 | John Andrew Compton | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760627327 | Zachary C Roberts | Physical Medicine & Rehabilitation | Msu Athletic Training Services, 901 S. National Ave., Springfield, MO 65897-0001 | 2008-12-11 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1336645860 | Rocky Marsero | Physical Medicine & Rehabilitation | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-03 |
| 1629323647 | Jason Todd Royer | Physical Medicine & Rehabilitation | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-16 |
| 1164783619 | James Patrick Newman | Physical Medicine & Rehabilitation | 800 N 1st St, Springfield, IL 62702-3719 | 2012-05-31 |
| 1639399611 | Tyler Wright Landgraf | Physical Medicine & Rehabilitation | 901 S National Ave, Forsythe Rm 109, Springfield, MO 65897-0027 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166864 | Bryan Bengston | Physical Medicine & Rehabilitation | 624 Sessions Ave, Saint Louis, MO 63126-1030 | 2019-07-20 |
| 1871003301 | Southeast Missouri State University | Physical Medicine & Rehabilitation | 1 University Plz # Ms 0200, Cape Girardeau, MO 63701-4710 | 2017-10-11 |
| 1144214065 | Ravi Yadava | Physical Medicine & Rehabilitation | 675 Old Ballas Rd, Suite 210, Saint Louis, MO 63141-7083 | 2005-09-07 |
| 1154939346 | Tara Grace Porter | Physical Medicine & Rehabilitation | 1480 8th St, West Plains, MO 65775-2010 | 2020-07-14 |
| 1184258188 | Jessica Nicole Bledsoe | Physical Medicine & Rehabilitation | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 | 2020-02-27 |
| 1235649211 | Sydni Marie Kaden | Physical Medicine & Rehabilitation | 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507-2508 | 2017-10-04 |
| 1184162414 | Kirstin Arnold | Physical Medicine & Rehabilitation | 3222 W 16th St, Sedalia, MO 65301-2105 | 2017-02-07 |
| 1326466590 | Chelsea Hoggard | Physical Medicine & Rehabilitation | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2014-04-03 |
| 1144519877 | Seth Marcus Oliphant | Physical Medicine & Rehabilitation | 4400 Broadway, Suite 540, Kansas City, MO 64111-3498 | 2011-04-04 |
| 1851541106 | West County Spine & Sports Medicine | Physical Medicine & Rehabilitation | 555 North New Ballas Rd, Suite 210, St. Louis, MO 63141 | 2008-09-23 |
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| City | SPRINGFIELD |
| Zip Code | 65807 |
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| 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.