SOUTHEASTERN SURGERY
NPI 1639536089
Clinic/Center in Logan, OH

Q: What is Southeastern Surgery's NPI number?

The NPI number for Southeastern Surgery is 1639536089. It was assigned to this organization in the NPPES registry on January 15, 2016.

Q: What is Southeastern Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 15, 2016

144 EAST MAIN STREET, LOGAN, OH 43138(740) 385-1881(740) 385-1875 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeastern Surgery NPPES

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

SOUTHEASTERN SURGERY (NPI 1639536089) is a healthcare organization registered as a clinic/center in Logan, Ohio and active in the NPI registry since January 2016. The organization lists John Duffy Dewalt, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1639536089

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTHEASTERN SURGERY

Location Address144 EAST MAIN STREETLogan, OH 43138

Mailing Address12413 State Route 93 NLogan, OH 43138-9306 · (740) 385-3318 · Fax (740) 385-1875

Phone(740) 385-1881

Fax(740) 385-1875

Organization SubpartNo

Authorized OfficialJohn Duffy DewaltSurgeon · (740) 385-1881

Enumeration DateJanuary 15, 2016

✔ NPI 1639536089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in OH · 34. 002686

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

144 EAST MAIN STREET, Logan, OH 43138

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JOHN DUFFY DEWALT D.O.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

144 EAST MAIN STREET
LOGAN, OH 43138

Hocking County (740) 385-1881

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 Southeastern Surgery's NPI number?

The NPI number for Southeastern Surgery is 1639536089. It was assigned to this organization in the NPPES registry on January 15, 2016.

Where is Southeastern Surgery located?

Southeastern Surgery is located at 144 East Main Street, Logan, OH 43138. The listed phone number is (740) 385-1881.

What is Southeastern Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Southeastern Surgery accept?

Health plans from CareSource list Southeastern Surgery 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 Southeastern Surgery was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.