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DR. SAMUEL ERNEST LOGAN M.D., PHD
NPI 1013914241
Plastic Surgery in Saint Joseph, MI

Active since July 01, 2005PECOS Enrolled
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085(269) 556-6000(269) 556-6020 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Samuel Ernest Logan M.d., Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL ERNEST LOGAN M.D., PHD (NPI 1013914241) is an individual plastic surgery provider in Saint Joseph, Michigan, licensed in Michigan (4301056980) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013914241
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. SAMUEL ERNEST LOGANCredential: M.D., PHD
Location Address3901 STONEGATE PARK, SUITE 300Saint Joseph, MI 49085-9137
Mailing Address3901 Stonegate Park, Suite 300Saint Joseph, MI 49085-9137 · (269) 556-6000
Phone(269) 556-6000
Fax(269) 556-6020
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1013914241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 4301056980
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSpecialistTaxonomy 174400000X · License 4301056980 (MI)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 4301056980 (MI)
3901 STONEGATE PARK, Saint Joseph, MI 49085
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Other Identifiers 4

Medicaid2663684MI
Medicare ID-Type UnspecifiedA12812MI
Medicaid1013914241MI
Medicare PINMI2051MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Ernest Logan M.d., Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA DIANE PAREIGIS MD
Physical Medicine & Rehabilitation
3901 STONEGATE PARK, SUITE #500
SAINT JOSEPH, MI 49085
Berrien County (269) 429-6700
AMERICAN LIMB & ORTHOPEDIC CO.
Prosthetic/Orthotic Supplier
3901 STONEGATE PARK, SUITE 200
SAINT JOSEPH, MI 49085
Berrien County (269) 408-0129
LAKELAND MEDICAL PRACTICES
Surgery (Plastic and Reconstructive Surgery)
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 556-6000
KAREN LYNNE POWERS MD
Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 556-6000
RIDDHI JAY SHAH D.O.
Dermatology
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 408-4265
LAKELAND MEDICAL PRACTICES
Dermatology
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 556-6000
GORDON SANGHI WON DDS
Dentist (General Practice)
3901 STONEGATE PARK, STE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 428-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Logan's NPI number?

The NPI number for Samuel Logan is 1013914241. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Samuel Logan located?

Samuel Logan practices at 3901 Stonegate Park Suite 300, Saint Joseph, MI 49085. The listed phone number is (269) 556-6000.

What is Samuel Logan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Samuel Logan enrolled in Medicare?

Yes. Samuel Logan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Logan was last updated on January 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.