DR. MARY JO LOGEE M.D. NPI 1184622912

NPI Information

  • NPI: 1184622912
  • Provider Name: DR. MARY JO LOGEE, M.D.
  • Classification: Preventive Medicine - 2083S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 3373 COMMERCE PKWY
    SUITE 2
    WOOSTER, OH
    ZIP 44691
  • Phone: (330) 804-9712

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NPI Details

DR. Mary Jo Logee, M.D. is a sports medicine preventive medicine in Wooster, OH. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. DR. Mary Jo Logee, M.D. NPI is 1184622912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3373 COMMERCE PKWY
SUITE 2
WOOSTER, OH
ZIP 44691-130
Phone: (330) 804-9712
Fax: (330) 804-9717

The enumeration date for this NPI number is 7/14/2005 and was last updated on 2/12/2009.

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
12083S0010XPreventive MedicineSports Medicine35061022OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LO0721281MEDICARE ID-TYPE UNSPECIFIEDOHIO
28626940001MEDICARE NSCOHIO
3F34281MEDICARE UPIN
40891512MEDICAIDOHIO

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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