DIETZE & LOGAN SPINE SPECIALIST, LLC
NPI 1609316322
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Lacombe, LA

Q: What is Dietze & Logan Spine Specialist, LLC's NPI number?

The NPI number for Dietze & Logan Spine Specialist, LLC is 1609316322. It was assigned to this organization in the NPPES registry on February 28, 2017.

Q: What is Dietze & Logan Spine Specialist, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since February 28, 2017CLIA 19D2141742 · Waiver

29301 N DIXIE RANCH RD, LACOMBE, LA 70445(985) 871-4114(985) 871-4130 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dietze & Logan Spine Specialist, Llc NPPES

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

DIETZE & LOGAN SPINE SPECIALIST, LLC (NPI 1609316322) is a healthcare organization registered as an orthopaedic surgery of the spine in Lacombe, Louisiana and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists John B Logan, Partner, as its authorized official.

NPPES Registry Identity

NPI1609316322

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameDIETZE & LOGAN SPINE SPECIALIST, LLC

Location Address29301 N DIXIE RANCH RDLacombe, LA 70445-5403

Mailing Address29301 N Dixie Ranch RdLacombe, LA 70445-5403 · (985) 871-4114 · Fax (985) 871-4130

Phone(985) 871-4114

Fax(985) 871-4130

Organization SubpartNo

Authorized OfficialJohn B LoganPartner · (985) 871-4114

Enumeration DateFebruary 28, 2017

✔ NPI 1609316322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in LA · MD020254

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

29301 N DIXIE RANCH RD, Lacombe, LA 70445

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dietze & Logan Spine Specialist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dietze & Logan Spine Specialist, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Michael Braxton, MD

Physical Medicine and Rehabilitation

NPI 1245221738

105 MEDICAL CENTER DR STE 101
Slidell, LA 70461

(985) 875-2727

✔ PECOS✔ Accepts Medicare11 mi

Susan Bryant, MD

Physical Medicine and Rehabilitation

NPI 1609842947

3434 HOUMA BLVD STE 301
Metairie, LA 70006

(504) 635-2601

✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2141742

Dietze & Logan Spine Specialist, LLC · Lacombe, LA

Active · expires Dec 19, 2027

CLIA Number19D2141742

Laboratory TypePhysician Office

Certificate Effective DateDecember 20, 2025

Certificate Expiration DateDecember 19, 2027

Laboratory DirectorJohn B. Logan

Laboratory Phone(985) 871-4114

Laboratory LocationDietze & Logan Spine Specialist, LLC29301 N Dixie Ranch Rd, Lacombe, LA 70445

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Dietze & Logan Spine Specialist, LLC's NPI number?

The NPI number for Dietze & Logan Spine Specialist, LLC is 1609316322. It was assigned to this organization in the NPPES registry on February 28, 2017.

Where is Dietze & Logan Spine Specialist, LLC located?

Dietze & Logan Spine Specialist, LLC is located at 29301 N Dixie Ranch Rd, Lacombe, LA 70445. The listed phone number is (985) 871-4114.

What is Dietze & Logan Spine Specialist, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Dietze & Logan Spine Specialist, LLC enrolled in Medicare?

Yes. Dietze & Logan Spine Specialist, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dietze & Logan Spine Specialist, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Medicine and Rehabilitation, reassign their Medicare billing to Dietze & Logan Spine Specialist, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dietze & Logan Spine Specialist, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2141742) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dietze & Logan Spine Specialist, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Dietze & Logan Spine Specialist, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dietze & Logan Spine Specialist, LLC was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.