LOGAN PHYSICIAN PRACTICE LLC
NPI 1649203043
Family Medicine in Russellville, KY

Q: What is Logan Physician Practice LLC's NPI number?

The NPI number for Logan Physician Practice LLC is 1649203043. It was assigned to this organization in the NPPES registry on July 9, 2006.

Q: What is Logan Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 09, 2006

975 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276(270) 726-2738 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 13, 2023, Dec 9, 2019, Dec 6, 2019 and 3 more (6 updates tracked since 2016).

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About Logan Physician Practice Llc NPPES

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

LOGAN PHYSICIAN PRACTICE LLC (NPI 1649203043) is a healthcare organization registered as a family medicine in Russellville, Kentucky and active in the NPI registry since July 2006. The organization lists Kathy Teague, Vp, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1649203043

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLOGAN PHYSICIAN PRACTICE LLC

Location Address975 HOPKINSVILLE RDRussellville, KY 42276-9792

Mailing Address113 Seaboard Ln Ste 201bFranklin, TN 37067-8284 · (629) 253-5121

Phone(270) 726-2738

Organization SubpartNo

Authorized OfficialKathy TeagueVp, Corporate Secretary · (629) 253-5121

Enumeration DateJuly 9, 2006

Last NPPES UpdateApril 13, 20236 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1649203043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

975 HOPKINSVILLE RD, Russellville, KY 42276

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Other Identifiers 1

Medicaid65935777KY

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

Other Providers at the Same Location NPPES 6

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

GREAT PHYSICIAN HEALTH SERVICES

Internal Medicine