DR. THOMAS LEE LOGAN (NPI# 1083642524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083642524 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LEE LOGAN |
| Credential | M.D. |
| Practice Address |
1901 Sw 172nd Ave Miramar FL 33029-5592 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 9545385000 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME91276 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD | 50401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427183383 | Thomas Logan | Marriage & Family Therapist | 10435 Chubb Ln, Santee, CA 92071-2709 | 2007-02-22 |
| 1437299476 | Thomas Michael Logan | Counselor | 103 E 4th Ave Ste 200, Ellensburg, WA 98926-3189 | 2007-02-07 |
| 1508854431 | Thomas Brooks Logan | Otolaryngology | 800 N Elm St, Henderson, KY 42420-2709 | 2005-10-13 |
| 1184907024 | Thomas M Logan | Counselor | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2011-09-27 |
| 1598733008 | Thomas Craig Logan | Otolaryngology | 2841 New Hartford Rd, Owensboro, KY 42303-1320 | 2006-03-09 |
| Street Address |
1901 SW 172ND AVE |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021197 | South Broward Hospital District | General Acute Care Hospital | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2005-11-25 |
| 1871123687 | Linda Maria Weisberg | Nurse Anesthetist, Certified Registered | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2020-01-21 |
| 1477069656 | Jennifer Christine Wright D'orazio | Nurse Practitioner | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2017-12-24 |
| 1104376722 | Nancy Jennifer Gavilanes | Nurse Practitioner | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2016-10-06 |
| 1619345899 | Edgar A. Peralta | Physician Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2015-09-04 |
| 1760722268 | Astrid Laverde | Nurse Anesthetist, Certified Registered | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2013-02-20 |
| 1790022507 | Barbara Rosa Martinez Md Pa | Family Medicine | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2013-01-14 |
| 1518211010 | Laura Pequeno | Pharmacist | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2012-11-05 |
| 1295086270 | Pedro A Lorenzo Jr. | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2012-10-01 |
| 1073895017 | Edward De Jesus Bolanos | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154650943 | Yassir Irizarry-cruz | Emergency Medicine | 19014 Sw 17 Court, Miramar, FL 33029-5672 | 2009-12-08 |
| 1790944205 | Brian L Mendez | Emergency Medicine | 1901 Sw 172nd Ave Rm Memorial, Miramar, FL 33029-5592 | 2008-06-09 |
| 1811471758 | Helene Ayiti Nau | Emergency Medicine | 12401 Miramar Pkwy, Miramar, FL 33027-2900 | 2018-09-17 |
| 1366738965 | Leonel Diaz Jr. | Emergency Medicine | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2011-06-22 |
| 1215162078 | William Adrian Blackwell | Emergency Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 | 2009-05-22 |
| 1669670832 | Daniel K. Woo | Emergency Medicine | 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 | 2007-07-10 |
| 1265636047 | Stephanie B. Newsom | Emergency Medicine | 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027-6308 | 2007-06-13 |
| 1114067196 | Kenneth Michael Kingdon | Emergency Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2007-02-07 |
| 1659445963 | Lorena F. Hillman | Emergency Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2006-11-20 |
| 1215038393 | Paul F Mele | Emergency Medicine | 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027-6308 | 2006-09-25 |
| Find all providers in MIRAMAR | ||||
Please comment or provide details below to improve the information on DR. THOMAS LEE LOGAN.
| 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.