LOGAN DONEVANT (NPI# 1982186276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982186276 |
| Entity Type | Individual |
| Full Name | LOGAN DONEVANT |
| Credential | CAA |
| Practice Address |
5719 Pickens Ave Myrtle Beach SC 29577-2223 |
| Practice Telephone | 8433609923 |
| Mailing Telephone | 8433609923 |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5719 PICKENS AVE |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033528450 | Nyein Garner | Anesthesiologist Assistant | 134 N Gate Rd, Myrtle Beach, SC 29572-5618 | 2014-08-11 |
| 1871069898 | Christina Elizabeth Moskal | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2018-10-17 |
| 1841717964 | Karolina Eva Lapinska | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-08-29 |
| 1659720829 | Catherine Ellis | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2016-06-08 |
| 1518323799 | Kassandra Wienholt | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2016-01-04 |
| 1477928596 | Kathleen Starrs | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2015-12-01 |
| 1609252238 | Jennifer Hart | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2015-08-05 |
| 1699018994 | Lindsay Cook | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2013-04-04 |
| 1083998702 | Natalie Anderson Kahn | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2011-09-29 |
| 1578870317 | John Edward Benson Jr. | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2010-08-31 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.