SHELBY LYNN LOGSDON (NPI# 1598230856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598230856 |
| Entity Type | Individual |
| Full Name | SHELBY LYNN LOGSDON |
| Credential | FNP-C |
| Practice Address |
1391 Main St Hamilton OH 45013-1077 |
| Practice Telephone | 5138679000 |
| Practice Fax Number | 5137853675 |
| Mailing Telephone | 5138679000 |
| Mailing Fax Number | 5137853675 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 34-00-6722 | OH | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | APRN.CNP.023888 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0370761 | 05 |
| Street Address |
1391 MAIN ST |
| City | HAMILTON |
| State | OH |
| Zip Code | 45013-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613129 | Shanthi Rajaratnam | Family Medicine | 1391 Main St, Hamilton, OH 45013-1077 | 2005-07-20 |
| 1629465216 | Erica Mathieu | Family Medicine | 1391 Main St, Hamilton, OH 45013-1077 | 2015-04-21 |
| 1376842799 | Fatin Albezargan | Family Medicine | 1391 Main St, Hamilton, OH 45013-1077 | 2011-03-24 |
| 1932119096 | Shari Lynn Gabbard | Nurse Practitioner | 1391 Main St, Hamilton, OH 45013-1077 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860331 | Cynthia Dossenback | Technician | 2094 Gardner Road, Hamilton, OH 45013 | 2019-09-18 |
| 1427530237 | Barbara Ann Rhymer | Nurse Practitioner | 1474 Main Street, Hamilton, OH 45013 | 2018-08-29 |
| 1740771286 | Rachel Jo Creech | Counselor | 314 S Erie Highway, Hamilton, OH 45013 | 2018-05-21 |
| 1205358488 | Erica Knollman | Specialist/Technologist | 7535 Willey Rd, Hamilton, OH 45013 | 2017-07-10 |
| 1336699669 | Lottie Renee Hamblin | Licensed Practical Nurse | 146 Cedar Ln, Hamilton, OH 45013 | 2016-10-11 |
| 1497103535 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 890 Nw Washington Blvd, Hamilton, OH 45013 | 2016-05-31 |
| 1689044109 | Gary Juan Kidd | Nurse Practitioner | 2449 Ross Millville Rd Ste 270, Hamilton, OH 45013 | 2015-09-26 |
| 1629487210 | Roger Shane Burton | Community Health Worker | 3926 Shank Road, Hamilton, OH 45013 | 2014-08-07 |
| 1689090458 | Amy Marie Bonham | Registered Nurse | 714 Eaton Avenue, Hamilton, OH 45013 | 2014-03-17 |
| 1932520103 | David L Rivers | Counselor | 1862 Wagon Wheel Dr., Hamilton, OH 45013 | 2013-12-13 |
| Find all providers in zip 45013 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1831723709 | Nicole Patricia Stout | Physician Assistant | 168 Acres Dr, Hamilton, NJ 08690-3917 | 2020-02-28 |
| 1760016638 | Kristen Teixeira | Physician Assistant | 4 Longleaf Dr, Hamilton, NJ 08690-1358 | 2020-02-28 |
| 1053943282 | Liudmila Evdokimova | Physician Assistant | 3836 Quakerbridge Rd Ste 206, Hamilton, NJ 08619-1006 | 2020-02-05 |
| 1073023891 | Grant Ward | Physician Assistant | 400 N Brown St Bldg 2, Hamilton, TX 76531-1518 | 2017-10-06 |
| 1568900496 | Megan Beatrice Poynter | Physician Assistant | 5908 Green Crest Dr, Hamilton, OH 45011-2224 | 2017-02-11 |
| 1831647544 | Nicole Lynn Dobron | Physician Assistant | 25 Stevenson Ave, Hamilton, NJ 08619-1236 | 2016-09-12 |
| 1518385897 | Sarah Gaudiosi | Physician Assistant | 1374 Whitehorse Hamilton Square Rd Fl 2, Hamilton, NJ 08690 | 2014-04-03 |
| 1043369218 | Andria M Salzano | Physician Assistant | 25 Office Park Drive, Hamilton, OH 45013 | 2007-01-09 |
| 1306823802 | Phillip T Smith | Physician Assistant | 1 N Brookwood Ave, Hamilton, OH 45013 | 2005-12-27 |
| Find all providers in HAMILTON | ||||
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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.