LOGAN PEDIATRICS INC NPI 1720299803

NPI Information

  • NPI: 1720299803
  • Provider Name: LOGAN PEDIATRICS, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 60 HOSPITAL DR
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 831-0073

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NPI Details

LOGAN PEDIATRICS, INC is a specialist in Logan, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOGAN PEDIATRICS, INC NPI is 1720299803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 HOSPITAL DR
LOGAN, WV
ZIP 25601-452
Phone: (304) 831-0073
Fax: (304) 831-0076

The provider's authorized official is Okpani M Nnachi .
The authorized official title is Medical Director and has the following contact phone number (304) 831-0073.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/2/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist21990WEST VIRGINIAYes

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
1I37400MEDICARE UPINWEST VIRGINIA
2LO9356022MEDICARE PINWEST VIRGINIA
33810012095MEDICAIDWEST VIRGINIA

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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