MR. LOGAN ANDREW PHELPS (NPI# 1982262325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982262325 |
| Entity Type | Individual |
| Full Name | MR. LOGAN ANDREW PHELPS |
| Credential | PA |
| Practice Address |
33 Mollison Way Lewiston ME 04240-5805 |
| Mailing Address |
115 Megquier Hill Rd Poland ME 04274-7537 |
| Practice Telephone | 2077845782 |
| Mailing Telephone | 4199449102 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | PA1934 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
33 MOLLISON WAY |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114989852 | Kristie J Berube | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2006-04-06 |
| 1750871703 | Jennifer Kaserman Archibald | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2018-05-15 |
| 1558882415 | Michael Payne | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2017-06-30 |
| 1215475942 | Addie Mckenzie | Registered Nurse | 33 Mollison Way, Lewiston, ME 04240 | 2017-02-01 |
| 1033585344 | Astrid Rivera Rodriguez | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-08-20 |
| 1356721252 | Nathan Z Hines | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-06-05 |
| 1962892406 | Katelyn Ryan | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-02-04 |
| 1376987743 | Karen L Palmer | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2013-04-29 |
| 1528304409 | Amanda Bowden | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2012-12-20 |
| 1689982449 | Emily Vandoren | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2010-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013953991 | Gretchen A. Pianka | Pediatrics | 12 High St Ste 301, Lewiston, ME 04240-7690 | 2006-06-21 |
| 1922071521 | Shawn P Ferguson | Pediatrics | 733 Center Street, Lewiston, NY 14092 | 2006-02-13 |
| 1962853697 | Joseph Michael Anderson | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2016-06-23 |
| 1033585344 | Astrid Rivera Rodriguez | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-08-20 |
| 1285017046 | Virginia Mcmaster | Pediatrics | 330 Sabattus St Ste B, Lewiston, ME 04240 | 2015-06-29 |
| 1750630307 | Jenisha Nandhlal | Pediatrics | 100 Campus Ave, Lewiston, ME 04240-6040 | 2012-08-29 |
| 1669734000 | Sara Carrie Tarolli | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2012-06-12 |
| 1669762746 | Elizabeth D Baker | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2011-04-11 |
| 1619296837 | Margaret T Curtis | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2010-05-27 |
| 1851525612 | Rebecca M Brakeley | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2009-05-08 |
| Find all providers in LEWISTON | ||||
Please comment or provide details below to improve the information on MR. LOGAN ANDREW PHELPS.
| 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.