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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LOGAN REILLY TARTER D.O.
NPI 1144070590
Emergency Medicine in Peoria, IL

Active since March 26, 2024
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2109 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Reilly Tarter D.o. NPPES

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

LOGAN REILLY TARTER D.O. (NPI 1144070590) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (125.084492) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1144070590
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLOGAN REILLY TARTERCredential: D.O.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2109
Phone(309) 655-2109
Sole ProprietorYes
Enumeration DateMarch 26, 2024
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1144070590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125.084492
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

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

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Logan Tarter's NPI number?

The NPI number for Logan Tarter is 1144070590. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Logan Tarter located?

Logan Tarter practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2109.

What is Logan Tarter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Logan Tarter was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.