WILLIAM C LOGAN JR. (NPI# 1588603682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588603682 |
| Entity Type | Individual |
| Full Name | WILLIAM C LOGAN JR. |
| Credential | M.D. |
| Practice Address |
103 S. Pine Street Spartanburg SC 29302-1972 |
| Practice Telephone | 8643271510 |
| Practice Fax Number | 8643271662 |
| Mailing Telephone | 8643271510 |
| Mailing Fax Number | 8643271662 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
23138 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T72123 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184965667 | William Searle Logan | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| 1629397336 | William Earl Logan | Counselor | 351 Hartnell Ave, Redding, CA 96002-1845 | 2010-05-19 |
| 1215177886 | William Logan | Physical Therapist | 3690 Southwestern Blvd, Orchard Park, NY 14127-1720 | 2009-02-23 |
| 1891832747 | William D Logan Jr. | Emergency Medicine | 310 Ellis St, Carthage, MS 39051-3809 | 2007-01-31 |
| 1336213552 | William J Logan | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-11-20 |
| 1871699884 | William A Logan | Otolaryngology | 800 Hospital Dr, Madisonville, KY 42431-1658 | 2006-09-16 |
| 1336161744 | William E. Logan | Dentist | 601 4th Ave, New Brighton, PA 15066-1831 | 2006-07-24 |
| 1750311395 | William R Logan | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-07-03 |
| 1013984996 | William Sumner Logan | Specialist | 1928 Randolph Rd, Suite 316, Charlotte, NC 28207-1105 | 2006-03-01 |
| 1508843913 | William Henry Logan IIi | Dentist | 1216 6th Ave W, Suite E, Hendersonville, NC 28739-3312 | 2005-12-28 |
| Street Address |
103 S. PINE STREET |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346389699 | Margie Yu Discaya | Nurse Practitioner | 103 S. Pine Street, Spartanburg, SC 29302-1972 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977852 | Mcleod Physician Associates II | Internal Medicine | 800 E Cheves St Ste 400, Florence, SC 29506-2649 | 2020-06-22 |
| 1649639568 | Harry Feliciano | Internal Medicine | 415 Upland Trail Rd, Elgin, SC 29045-8214 | 2016-02-20 |
| 1396178547 | Palmetto Geriatrics, LLC | Internal Medicine | 107 S Franklin Dr, Florence, SC 29501-4364 | 2013-08-12 |
| 1558614628 | Palmetto Service Company LLC | Internal Medicine | 1831 W Evans St, 230, Florence, SC 29501-3333 | 2012-10-26 |
| 1235443938 | Soraya, Pa | Internal Medicine | 25 Appian Cir, Simpsonville, SC 29681-3654 | 2010-08-05 |
| 1588845598 | Wilner Medical Assoicates Pa | Internal Medicine | 251 W Palmetto St, Florence, SC 29501-4415 | 2007-11-19 |
| 1558575217 | Executive Court Medical Specialist P.C. | Internal Medicine | 997 Hwy 17 Business South, Suite C, Surfside Beach, SC 29575-6084 | 2007-05-10 |
| 1568582906 | Gail L Rearden | Internal Medicine | 1205 Wisteria Rd, Charleston, SC 29407-5226 | 2007-03-30 |
| 1194837716 | Neerja Bhardwaj | Internal Medicine | 317 St. Francis Dr., Ste 220, Greenville, SC 29601-3976 | 2006-08-31 |
| 1073529053 | Malissa Gail Wilson | Internal Medicine | 1308 Laurel Street, Palmetto Senior Care Laurel, Columbia, SC 29201 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.