Theodore F Logan (NPI# 1568428498, PAC ID# 9335284470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1568428498 |
| PAC ID by PECOS | 9335284470 |
| Professional Enrollment ID | I20100301000849 |
| Full Name | Theodore F Logan |
| Organization Legal Name | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| Address |
13000 E 136th St Fishers IN 46037-9478 |
| Phone Number | 3176782000 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 3375446347 |
| Number of Group Practice Members | 252 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 150158 | IU HEALTH WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13000 E 136th St, Fishers, IN 46037-9478 | 3176782000 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| 550 N University Blvd, Indianapolis, IN 46202-5149 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| Organization Legal Name | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Stahl | Sleep Medicine | University Medical Diagnostic Associates Inc | 714 N Senate Ave, Suite 120, Indianapolis, IN 46202-3297 |
| Rachel Christine Morgan | Endocrinology | University Medical Diagnostic Associates Inc | 8820 S Meridian, Suite 230, Indianapolis, IN 46217-6058 |
| Chillnille L Milbrooks | Nurse Practitioner | University Medical Diagnostic Associates Inc | 2140 N Capitol Ave, Indianapolis, IN 46202-1225 |
| Steven T Hugenberg | Rheumatology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Timothy A Sutton | Nephrology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Katherine J Kelly | Nephrology | University Medical Diagnostic Associates Inc | 1481 W 10th St, Indianapolis, IN 46202-2803 |
| Anton A Cabellon | Nephrology | University Medical Diagnostic Associates Inc | 550 N University Blvd, Indianapolis, IN 46202-5149 |
| Shalini Manchanda | Pulmonary Disease | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Yelena Chernyak | Psychologist, Clinical | University Medical Diagnostic Associates Inc | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 |
| Paris Roach | Endocrinology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Street Address |
13000 E 136TH ST |
| City | FISHERS |
| State | IN |
| Zip | 46037-9478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Hugenberg | Rheumatology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Shalini Manchanda | Pulmonary Disease | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Sean D Gussick | Diagnostic Radiology | Indiana University Radiology Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Danielle V Hill | Diagnostic Radiology | Indiana University Radiology Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Harvey M Cramer | Pathology | University Family Physicians, Inc. | 13000 E 136th St, Fishers, IN 46037-9478 |
| Paris Roach | Endocrinology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Monika Fischer | Gastroenterology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Sarah C Perryman | Rheumatology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Donald L Kreipke | Diagnostic Radiology | Indiana University Radiology Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Anjan Kumar Sinha | Cardiovascular Disease (cardiology) | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riley Jo Hoffman | Physician Assistant | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Haley Simmons Lawhead | Nurse Practitioner | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Megan Elizabeth Vannatta | Internal Medicine | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Eva Maria Freeman | Pediatric Medicine | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Mary Beth Schaefer | Nurse Practitioner | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Deanna Nichole Adamson | Nurse Practitioner | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Kelly Bren Oshaughnessey | Nurse Practitioner | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Emily E Musgrave | Family Medicine | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Anne Patricia Jones | Nurse Practitioner | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Flor Marlene Phillips | Nurse Practitioner | St Vincent Medical Group Inc | 9795 E 116th St, Fishers, IN 46037-2822 |
| Find all physicians in zip 46037 | |||
| City | FISHERS |
| Zip Code | 46037 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FISHERS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Theodore F 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.