John L Logan (NPI# 1124020771, PAC ID# 9537346903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1124020771 |
| PAC ID by PECOS | 9537346903 |
| Professional Enrollment ID | I20110613000196 |
| Full Name | John L Logan |
| Organization Legal Name | DENVER UROLOGY CLINIC PC |
| Address |
9141 Grant St Suite 245 Thornton CO 80229-4367 |
| Phone Number | 3033889321 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1971 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4880582766 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061313 | KIT CARSON COUNTY MEMORIAL HOSPITAL |
| 061306 | LINCOLN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9141 Grant St, Suite 245, Thornton, CO 80229-4367 | 3033889321 | DENVER UROLOGY CLINIC PC |
| Organization Legal Name | DENVER UROLOGY CLINIC PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Weiss | Urology | Denver Urology Clinic PC | 9141 Grant St, Suite 245, Thornton, CO 80229-4367 |
| Stephen R Henderson | Urology | Denver Urology Clinic PC | 9195 Grant St, Suite 305, Thornton, CO 80229-4385 |
| Michelle L Ellis | Nurse Practitioner | Denver Urology Clinic PC | 4545 E 9th Ave, Suite 500, Denver, CO 80220-3910 |
| Street Address |
9141 GRANT ST SUITE 245 |
| City | THORNTON |
| State | CO |
| Zip | 80229-4367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Peller | Otolaryngology | 9141 Grant St, Suite 240, Thornton, CO 80229-4318 | |
| Tanios J Wanna | Emergency Medicine | Carepoint PC | 9141 Grant St, Suite B40, Thornton, CO 80229-4367 |
| John A Lampe | General Surgery | 9141 Grant St, Suite 237, Thornton, CO 80229-4318 | |
| Jeremy Weiss | Urology | Denver Urology Clinic PC | 9141 Grant St, Suite 245, Thornton, CO 80229-4367 |
| Theodore R Buttrick Iii | Internal Medicine | 9141 Grant St, Suite 210, Thornton, CO 80229-4318 | |
| Scott D Bentz | Emergency Medicine | Carepoint PC | 9141 Grant St, Suite B40, Thornton, CO 80229-4367 |
| Mary Lou Cullinan | Infectious Disease | 9141 Grant St, Suite 125, Thornton, CO 80229-4367 | |
| Bruce J Weber | Gastroenterology | 9141 Grant St, Suite 235, Thornton, CO 80229-4367 | |
| Mircea Petrina | Cardiovascular Disease (cardiology) | Healthone Heart Care LLC | 9141 Grant St, Suite 140, Thornton, CO 80229-4367 |
| Krista A Culp | Emergency Medicine | Carepoint PC | 9141 Grant St, Suite B40, Thornton, CO 80229-4367 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Russell Nash | Pathology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Nicole M Vanica | Certified Registered Nurse Anesthetist (crna) | Central Colorado Anesthesia Associates LLC | 10001 Washington St, Thornton, CO 80229-2050 |
| Paul Deneault | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Asif Husain | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Tonya M. Delano | Nurse Practitioner | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Heidi L Stahl | Certified Registered Nurse Anesthetist (crna) | Central Colorado Anesthesia Associates LLC | 10001 Washington St, Thornton, CO 80229-2050 |
| Sam Anouna | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Teal J Mefford | Nurse Practitioner | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Andrzej Triebling | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Daniel Ramirez | Nurse Practitioner | 501 Thornton Pkwy, Thornton, CO 80229-2101 | |
| Find all physicians in zip 80229 | |||
| City | THORNTON |
| Zip Code | 80229 |
| Specialty | UROLOGY |
| City + Specialty | THORNTON + UROLOGY |
Please comment or provide details below to improve the information on John L 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.