MR. LOGAN SPENCER MCCARTHY (NPI# 1508200437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508200437 |
| Entity Type | Individual |
| Full Name | MR. LOGAN SPENCER MCCARTHY |
| Credential | APRN |
| Practice Address |
424 N Broad St New Tazewell TN 37825-6606 |
| Mailing Address |
Po Box 367 Harrogate TN 37752-0367 |
| Practice Telephone | 4238697193 |
| Mailing Telephone | 4238697193 |
| Mailing Fax Number | 4238697195 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
76170 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0000017553 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q025860 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 N State of Franklin Rd, Johnson City, TN 376046034 | 4234317047 | 4239790569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872291 | Logan Mccarthy | Counselor | 1510 State St, Veazie, ME 04401-7001 | 2015-09-29 |
| Street Address |
424 N BROAD ST |
| City | NEW TAZEWELL |
| State | TN |
| Zip Code | 37825-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849740 | Brent Sheldon Neal | Internal Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2005-05-31 |
| 1881063857 | Michael Allen Stephens | Physician Assistant | 424 N Broad St, New Tazewell, TN 37825-6606 | 2015-09-21 |
| 1992979454 | Nicole Paulson Shields | Family Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2008-04-16 |
| 1063699353 | Leah Cobb Snodgrass | Psychiatry & Neurology | 424 N Broad St, New Tazewell, TN 37825-6606 | 2008-01-29 |
| 1992985865 | Lincoln Memorial University | Emergency Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2007-11-08 |
| 1962530436 | Jan D Zieren | Family Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2007-02-28 |
| 1134236201 | Juanita M Brown | Neuromusculoskeletal Medicine & OMM | 424 N Broad St, New Tazewell, TN 37825-6606 | 2006-08-24 |
| 1992733372 | Jerry Michael Wieting | Physical Medicine & Rehabilitation | 424 N Broad St, New Tazewell, TN 37825-6606 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
| 1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
| 1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
| 1083169171 | Haley Henard Debusk | Physician Assistant | 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 | 2016-08-18 |
| 1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
| 1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
| 1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
| Find all providers in zip 37825 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW TAZEWELL |
| Zip Code | 37825 |
Please comment or provide details below to improve the information on MR. LOGAN SPENCER MCCARTHY.
| 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.