LOGAN HARRISON ROBERTSON NPI 1093343402

NPI Information

  • NPI: 1093343402
  • Provider Name: LOGAN HARRISON ROBERTSON
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11110 MEDICAL CAMPUS RD STE 200
    HAGERSTOWN, MD
    ZIP 21742
  • Phone: (301) 714-4400

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NPI Details

Logan Harrison Robertson is a medical physician assistant in Hagerstown, MD with 5 years of experience. Logan Harrison Robertson NPI is 1093343402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742-797
Phone: (301) 714-4400

The NPI 1093343402 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 3/31/2020 and was last updated on 11/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantC08038MARYLANDNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363AM0700XPhysician AssistantMedicalC0008038MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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