MR. LOGAN PALLISER (NPI# 1083212187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083212187 |
| Entity Type | Individual |
| Full Name | MR. LOGAN PALLISER |
| Practice Address |
728 Oakwood St Jackson MS 39202-1120 |
| Practice Telephone | 3145207593 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
728 OAKWOOD ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847274 | Devon Allred | Specialist/Technologist, Other | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689026916 | Altamic Lewis | Specialist/Technologist, Other | 2046 Beach Blvd Apt D103, Biloxi, MS 39531-5125 | 2016-07-11 |
| 1841697026 | Southern Neuro Solutions | Specialist/Technologist, Other | 10216 3rd Ave Ste C, Diberville, MS 39540-2543 | 2014-12-03 |
| 1205114998 | Southern Monitoring Innovations LLC | Specialist/Technologist, Other | 17398 C J Dellie Rd, Saucier, MS 39574-8707 | 2011-07-28 |
| 1437296183 | Gary Kerr II | Specialist/Technologist, Other | 10216 3rd Ave, Suite C, Diberville, MS 39540-2544 | 2007-01-31 |
| 1134777162 | Delilah Marie Brockup | Specialist/Technologist, Other | 4500 13th St, Gulfport, MS 39501-2515 | 2019-09-03 |
| 1043740608 | Core Neurodiagnostics, LLC | Specialist/Technologist, Other | 45 Hardy Court Ctr, #230, Gulfport, MS 39507-2501 | 2017-06-15 |
| 1437540275 | Southern Pro Read, LLC | Specialist/Technologist, Other | 10216 3rd Ave Ste C, Diberville, MS 39540-2543 | 2015-02-16 |
| 1245457662 | Christi Jo Cardwell | Specialist/Technologist, Other | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2007-04-19 |
Please comment or provide details below to improve the information on MR. LOGAN PALLISER.
| 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.