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LOGAN CLARK DO
NPI 1356034623
Student in an Organized Health Care Education/Training Program in Lansing, MI

Active since June 01, 2023PECOS Enrolled
2900 COLLINS RD, LANSING, MI 48910(517) 975-6000 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Logan Clark Do NPPES

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

LOGAN CLARK DO (NPI 1356034623) is an individual student in an organized health care education/training program in Lansing, Michigan and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356034623
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLOGAN CLARKCredential: DO
Location Address2900 COLLINS RDLansing, MI 48910-8394
Mailing Address2900 Collins RdLansing, MI 48910-8394 · (517) 975-6000
Phone(517) 975-6000
Sole ProprietorNo
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1356034623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2900 COLLINS RD, Lansing, MI 48910
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Clark Do 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.

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.

ANNA SALL DO
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
STEPHEN CAUCCI
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
DR. SAMANTHA LOEW DO
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
NATASHA TARIQ MD
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
MRS. LAUREEN ELIZABETH HAHN CRNA
Nurse Anesthetist, Certified Registered
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
SABRINA WOESSNER DO
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
KATHRYN PAWLOWSKI PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000
BROOKE JOHNSTON DO
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Ingham County (517) 975-6000

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 Clark's NPI number?

The NPI number for Logan Clark is 1356034623. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Logan Clark located?

Logan Clark practices at 2900 Collins Rd, Lansing, MI 48910. The listed phone number is (517) 975-6000.

What is Logan Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Logan Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Logan Clark was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.