Cameron R. Logan (NPI# 1306300892, PAC ID# 3173862448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1306300892 |
| PAC ID by PECOS | 3173862448 |
| Professional Enrollment ID | I20190304001880 |
| Full Name | Cameron R. Logan |
| Organization Legal Name | CENTRAL KENTUCKY ANESTHESIA P.S.C. |
| Address |
1720 Nicholasville Rd Lexington KY 40503-1404 |
| Phone Number | 8592607000 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4880508712 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180103 | BAPTIST HEALTH LEXINGTON |
| Address | Phone | Organization |
|---|---|---|
| 1720 Nicholasville Rd, Lexington, KY 40503-1404 | 8592607000 | CENTRAL KENTUCKY ANESTHESIA P.S.C. |
| 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 8592606100 | CENTRAL KENTUCKY ANESTHESIA P.S.C. |
| Organization Legal Name | CENTRAL KENTUCKY ANESTHESIA P.S.C. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keesha Ovee Watts | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Thomas L Broster | Anesthesiology | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Stace Douglas Dollar | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Jeremy B Wells | Anesthesiology | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Abby Priddle Benke | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1720 Nicholasville Rd, Lexington, KY 40503-1404 |
| Junior F. Carbajal | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1720 Nicholasville Rd, Lexington, KY 40503-1404 |
| Justin Tyler Neidig | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1720 Nicholasville Rd, Lexington, KY 40503-1404 |
| Valerie Ann Gouzd | Anesthesiology | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Jennifer R. Marcinek | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Genesis Song Bangha | Certified Registered Nurse Anesthetist (crna) | Central Kentucky Anesthesia P.s.c. | 1740 Nicholasville Rd, Lexington, KY 40503-1431 |
| Street Address |
1720 NICHOLASVILLE RD |
| City | LEXINGTON |
| State | KY |
| Zip | 40503-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Fuson | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Charles A Kennedy | Infectious Disease | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| John H Chaney | Thoracic Surgery | Baptist Health Medical Group Inc | 1720 Nicholasville Rd, Suite 502, Lexington, KY 40503-1404 |
| Iniko Zevon Sallee | Certified Nurse Midwife (cnm) | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Andrea L Banks | Internal Medicine | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| David F Dougherty | Infectious Disease | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| Shasta Cecil | Nurse Practitioner | Baptist Health Medical Group Inc | 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 |
| Susan E Hoff-thomas | Nurse Practitioner | Lexington Infectious Disease Consultants Psc | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1488 |
| Tamra Thompson | Nurse Practitioner | Baptist Health Medical Group Inc | 1720 Nicholasville Rd, Suite 502, Lexington, KY 40503-1404 |
| Reva D Tackett | Obstetrics/gynecology | Lexington Women's Health, Pllc | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1489 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence Conrad Ross | Cardiac Electrophysiology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Orla M Rooney | Podiatry | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Nelson Lamkin Jr. | Allergy/immunology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Ian M Puntney | Chiropractic | 535 Wellington Way, Suite 270, Lexington, KY 40503-1331 | |
| Dawn Christine Stratton | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Christina Summer Nguyen-canter | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Danita Turpin | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Lisa Wang | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Samuel Haire | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Heechung Ko | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Find all physicians in zip 40503 | |||
| City | LEXINGTON |
| Zip Code | 40503 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LEXINGTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Cameron R. 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.