Kenneth D Logan (NPI# 1962407825, PAC ID# 0941385983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962407825 |
| PAC ID by PECOS | 0941385983 |
| Professional Enrollment ID | I20080314000243 |
| Full Name | Kenneth D Logan |
| Organization Legal Name | ENLOE MEDICAL CENTER |
| Address |
1026 Mangrove Ave Suite 10 Chico CA 95926-3556 |
| Phone Number | 5303327144 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739092388 |
| Number of Group Practice Members | 171 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050039 | ENLOE MEDICAL CENTER |
| 050030 | OROVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1026 Mangrove Ave, Suite 10, Chico, CA 95926-3556 | 5303327144 | ENLOE MEDICAL CENTER |
| Organization Legal Name | ENLOE MEDICAL CENTER |
| Physicians | 126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa L Dawson | Obstetrics/gynecology | Enloe Medical Center | 888 Lakeside Vlg Cmns, Chico, CA 95928-3979 |
| Margaret C Lingafeldt | Nurse Practitioner | Enloe Medical Center | 1600 Esplanade, Suite C, Chico, CA 95926-3369 |
| Kelleen Galli | Nurse Practitioner | Enloe Medical Center | 251 Cohasset Rd, Suite 370, Chico, CA 95926-2276 |
| Shawn R Furst | Pain Management | Enloe Medical Center | 340 W E Ave, Chico, CA 95926-7238 |
| Darron M Ransbarger | Otolaryngology | Enloe Medical Center | 135 Mission Ranch Blvd, Suite 100, Chico, CA 95926-2175 |
| Christopher Massa | Cardiovascular Disease (cardiology) | Enloe Medical Center | 185 E 7th Ave, Chico, CA 95926-3356 |
| Jeffrey Swenson | Family Practice | Enloe Medical Center | 888 Lakeside Village Commons, Chico, CA 95928 |
| Holly T Kralj | Certified Nurse Midwife (cnm) | Enloe Medical Center | 1665 Esplanade, Chico, CA 95926-3312 |
| Denis R Westphal | General Surgery | Enloe Medical Center | 1026 Mangrove Ave, Suite 10, Chico, CA 95926-3556 |
| Lyman William Whitlatch Jr. | Neurosurgery | Enloe Medical Center | 251 Cohasset Rd, Suite 370, Chico, CA 95926-2276 |
| Street Address |
1026 MANGROVE AVE SUITE 10 |
| City | CHICO |
| State | CA |
| Zip | 95926-3556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denis R Westphal | General Surgery | Enloe Medical Center | 1026 Mangrove Ave, Suite 10, Chico, CA 95926-3556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Mari Winslow | Clinical Social Worker | 2220 St George Lan, Suite 2, Chico, CA 95926 | |
| Roberto Illa | Endocrinology | 1068 E Ave, A1, Chico, CA 95926-1015 | |
| Lauri L Greitzer | Chiropractic | 389 Connors Ct, Suite C, Chico, CA 95926-1177 | |
| Karen Escott | Chiropractic | 389 Connors Ct, Suite C, Chico, CA 95926-1177 | |
| James Ooi | General Practice | James P Ooi Md Inc | 383 Connors Ct, Suite F, Chico, CA 95926-1178 |
| Walter O Lysinger | Certified Registered Nurse Anesthetist | 605 E Ave, Chico, CA 95926-1206 | |
| Kay Gallegos | Psychologist, Clinical | 2260 Saint George Ln, Suite 2, Chico, CA 95926-1311 | |
| Darlene Cheryl | Clinical Social Worker | 2251 Saint George Ln, Suite G, Chico, CA 95926-1359 | |
| Randall Caviness | General Practice | 1279 E 1st Ave, Suite A, Chico, CA 95926-1542 | |
| Stephanie R Leask | Chiropractic | 1279 E 1st Ave B, Chico, CA 95926-1542 | |
| Find all physicians in zip 95926 | |||
| City | CHICO |
| Zip Code | 95926 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHICO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth D Logan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.