RYAN WILLIAM LOGAN (NPI# 1962030189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962030189 |
| Entity Type | Individual |
| Full Name | RYAN WILLIAM LOGAN |
| Practice Address |
1250 Lincoln Rd Apt 504 Miami Beach FL 33139-2255 |
| Practice Telephone | 7863890977 |
| Mailing Telephone | 7863890977 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113132 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235495466 | Ryan Logan | Social Worker | 23 Tavern Way, Setauket, NY 11733-2856 | 2012-04-02 |
| Street Address |
1250 LINCOLN RD APT 504 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| 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 |
|---|---|---|---|---|
| 1003392358 | Daniella Ortal Azrad | Physician Assistant | 4310 Post Ave, Miami Beach, FL 33140-3012 | 2018-07-18 |
| 1982191037 | Bayardo Jose Hernandez Rocha | Physician Assistant | 430 76th St Apt 4, Miami Beach, FL 33141-2300 | 2018-04-15 |
| 1447770821 | Jamie L Oppenheimer | Physician Assistant | 4515 N Jefferson Ave, Miami Beach, FL 33140-2937 | 2017-06-26 |
| 1225483142 | Spine Care Institute of Miami Beach Pa | Physician Assistant | 4308 Alton Road #610, Miami Beach, FL 33140-4559 | 2016-04-28 |
| 1538581830 | Aaron Dubitzky | Physician Assistant | 350 S Shore Dr Apt 3, Miami Beach, FL 33141-3969 | 2014-01-06 |
| 1710226931 | Brittany Coldwell Wichner | Physician Assistant | 1111 Lincoln Road # 375, Miami Beach, FL 33139 | 2013-02-07 |
| 1700951548 | Ha Vo Green | Physician Assistant | 4300 Alton Rd Ste 2522, Miami Beach, FL 33140-2948 | 2006-11-21 |
| 1760482632 | Genevieve Costello | Physician Assistant | 4306 Alton Rd Fl 2d, Miami Beach, FL 33140-2840 | 2005-07-21 |
| 1467083303 | Luis Nabil Mourino | Physician Assistant | 4300 Alton Rd Ste 2110, Miami Beach, FL 33140-2948 | 2020-01-29 |
| 1386297125 | Kristina P Andrion | Physician Assistant | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2019-07-22 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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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.