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JENNIFER C. LOGAN M.D. NPI 1538145008


NPI Information

NPI: 1538145008
Provider Name: JENNIFER C. LOGAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
85 SEYMOUR ST
SUITE 200
HARTFORD, CT
ZIP 06106
Phone: (860) 246-6589
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Jennifer C. Logan, M.D. is a diagnostic radiology radiology in Hartford, CT with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jennifer C. Logan, M.D. NPI is 1538145008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

85 SEYMOUR ST
SUITE 200
HARTFORD, CT
ZIP 06106-501
Phone: (860) 246-6589
Fax: (860) 560-2849

The NPI 1538145008 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.

  • Mammography of both breasts (HCPCS:77067)

The enumeration date for this NPI number is 12/16/2005 and was last updated on 10/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology043358CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I29319MEDICARE UPINCONNECTICUT
2300003626MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
3001433581MEDICAIDCONNECTICUT
4010043358CT01OTHERCONNECTICUTANTHEM BC/BS
5A2516306OTHERCONNECTICUTOXFORD

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.