MR. LOGAN BEN HULL II (NPI# 1083674147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083674147 |
| Entity Type | Individual |
| Full Name | MR. LOGAN BEN HULL II |
| Credential | PA-C |
| Practice Address |
2925 Debarr Rd Anchorage AK 99508-2983 |
| Mailing Address |
2011 Barboa Cir Anchorage AK 99504-3430 |
| Practice Telephone | 9072574844 |
| Practice Fax Number | 9072574905 |
| Mailing Telephone | 9079293829 |
| Mailing Fax Number | 9079293873 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
15-00273 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2925 DEBARR RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593750 | Cynthia A Joe | Internal Medicine | 2925 Debarr Rd, Alaska Va Healthcare System (11), Anchorage, AK 99508-2983 | 2006-01-25 |
| 1487102208 | Neuroversion | Pain Medicine | 2925 Debarr Rd, Suite 240, Anchorage, AK 99508-2959 | 2016-09-21 |
| 1306292818 | Internal Medicine Primary Care | Internal Medicine | 2925 Debarr Rd, Bld D, 215, Anchorage, AK 99508-2959 | 2016-05-13 |
| 1760836282 | Wanda Wilson | Specialist | 2925 Debarr Rd, Suite 150, Anchorage, AK 99508-2959 | 2016-04-21 |
| 1760852388 | Vitae Integrative Medical Center | Clinic/Center | 2925 Debarr Rd, Suite 150, Anchorage, AK 99508-2959 | 2015-09-26 |
| 1972845089 | Daniel James Hibbard | Pediatrics | 2925 Debarr Rd, Suite 230, Anchorage, AK 99508-2959 | 2013-03-27 |
| 1215232293 | Catherine A Butler | Nurse Practitioner | 2925 Debarr Rd, Suite 230, Anchorage, AK 99508-2959 | 2011-01-21 |
| 1235452640 | Jocelyn Lowe | Occupational Therapist | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2010-03-12 |
| 1548599467 | Roland B Cabiad | Registered Nurse | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2009-12-24 |
| 1790014215 | Jennifer Marie Kapolchok | Social Worker | 2925 Debarr Rd, Suite 2600, Anchorage, AK 99508-2983 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760872121 | Rachel Goldberger | Physician Assistant | 2741 Debarr Rd Ste C402, Anchorage, AK 99508-2980 | 2015-01-23 |
| 1730651514 | Peter Marbarger Jr. | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-12-18 |
| 1942783170 | Zachary Daniel Hartmann | Physician Assistant | 3831 Piper St Ste S220, Anchorage, AK 99508-4680 | 2018-09-13 |
| 1861907487 | Kaleigh Marie Bishop | Physician Assistant | 3831 Piper St Ste 220, Anchorage, AK 99508-4680 | 2017-12-05 |
| 1659810281 | Jennifer L Hermanson | Physician Assistant | 3831 Piper St, S-450, Anchorage, AK 99508-4680 | 2017-02-15 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1902271547 | Bennjamin L Kennah Pa-c | Physician Assistant | 2741 Debarr Rd Ste C214, Anchorage, AK 99508-2978 | 2015-12-08 |
| 1942674577 | Cami Zobel | Physician Assistant | 2751 Debarr Rd Ste B320, Anchorage, AK 99508-6805 | 2015-11-19 |
| 1780054445 | Christopher Albert | Physician Assistant | 4100 Lake Otis Pkwy Ste 302, Anchorage, AK 99508-5230 | 2015-10-06 |
| 1134599061 | Benjamin Kennah Pa-c | Physician Assistant | 2741 Debarr Rd Ste C214, Anchorage, AK 99508-2978 | 2015-10-05 |
| Find all providers in ANCHORAGE | ||||
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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.