Stephen Logan (NPI# 1326081761, PAC ID# 8729026299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1326081761 |
| PAC ID by PECOS | 8729026299 |
| Professional Enrollment ID | I20050425000679 |
| Full Name | Stephen Logan |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
1885 Englewood Rd Englewood FL 34223-1822 |
| Phone Number | 9414069030 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 361 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100070 | VENICE REGIONAL BAYFRONT HEALTH |
| 100267 | ENGLEWOOD COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1885 Englewood Rd, Englewood, FL 34223-1822 | 9414069030 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
1885 ENGLEWOOD RD |
| City | ENGLEWOOD |
| State | FL |
| Zip | 34223-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Bassetti | Family Medicine | Millennium Physician Group LLC | 1885 Englewood Rd, Englewood, FL 34223-1822 |
| Om Dutt Sharma | Internal Medicine | 1885 Englewood Rd, Englewood, FL 34223-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Birbeck | Obstetrics/gynecology | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1747 | |
| Cynthia Kay Davis | Obstetrics/gynecology | 2061 Englewood Rd, Suite 1, Englewood, FL 34223-1747 | |
| Scott T Martz | Urology | 2061 Englewood Rd, Suite 3a, Englewood, FL 34223-1747 | |
| Anthony Ditomaso | Gastroenterology | Florida Digestive Health Specialists, LLP | 2061 Englewood Rd, Suite 5, Englewood, FL 34223-1749 |
| Kathleen M Russo | Nurse Practitioner | Florida Digestive Health Specialists, LLP | 2061 Englewood Rd, Suite 5, Englewood, FL 34223-1749 |
| Curtis Mason | Physical Therapy | Svpt LLC | 1600 Englewood Rd, Englewood, FL 34223-1819 |
| Julie K Smajdor | Physical Therapy | Svpt LLC | 1600 Englewood Rd, Englewood, FL 34223-1819 |
| Dong P Tran | Anesthesiology | Gcsc Anesthesia LLC | 1750 Englewood Rd, Englewood, FL 34223-1821 |
| Sara Abadie | Clinical Social Worker | 975 N Boundary Rd, Englewood, FL 34223-2312 | |
| Pawel Kalwinski | Family Medicine | 406 N Indiana Ave, Suite 4, Englewood, FL 34223-2713 | |
| Find all physicians in zip 34223 | |||
| City | ENGLEWOOD |
| Zip Code | 34223 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ENGLEWOOD + FAMILY PRACTICE |
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| 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.