LOGAN PRIMARY CARE – Medical Physician Assistant, NPI 1992951123

LOGAN PRIMARY CARE is a healthcare provider. based in Herrin, Illinois. specializing in Medical Physician Assistant. The organization holds a License No. 085-003043 (IL). The NPI Number for LOGAN PRIMARY CARE is 1992951123

Main info

Organization
Name
LOGAN PRIMARY CARE
NPI
1992951123
Phone
(618) 993-3300
Address
405 RUSHING DR
Authorized Official
MICAH OAKLEY PHYSICIAN ASSISTANT PA-C
Enumeration Date
7 August 2008
Last Update Date
7 August 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for LOGAN PRIMARY CARE

  • 405, Rushing Drive, Herrin, Williamson County, Illinois, 62948, United States

    HERRIN, IL 629483730

    Phone: (618) 993-3300

    Fax: (618) 993-0262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62948)

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Reviews

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Frequently asked questions

Is LOGAN PRIMARY CARE listed with a National Provider Identifier?
Yes — LOGAN PRIMARY CARE has NPI 1992951123 on file in the registry.
Active or inactive — what applies to LOGAN PRIMARY CARE?
You should see LOGAN PRIMARY CARE as active in CMS-hosted NPPES data.
What area of care is associated with LOGAN PRIMARY CARE?
LOGAN PRIMARY CARE's record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LOGAN PRIMARY CARE associated with Herrin?
Public fields place LOGAN PRIMARY CARE around Herrin, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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