LOGAN GENERAL HOSPITAL LLC
NPI 1720032105
Podiatrist in Logan, WV

Q: What is Logan General Hospital LLC's NPI number?

The NPI number for Logan General Hospital LLC is 1720032105. It was assigned to this organization in the NPPES registry on May 20, 2006.

Q: What is Logan General Hospital LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since May 20, 2006

20 HOSPITAL DR, LOGAN, WV 25601(304) 831-1101(304) 831-1958 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Jun 26, 2025, Mar 20, 2020 (3 updates tracked since 2020).

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About Logan General Hospital Llc NPPES

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

LOGAN GENERAL HOSPITAL LLC (NPI 1720032105) is a healthcare organization registered as a podiatrist in Logan, West Virginia and active in the NPI registry since May 2006. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1720032105

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameLOGAN GENERAL HOSPITAL LLC

Location Address20 HOSPITAL DRLogan, WV 25601-3452

Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063

Phone(304) 831-1101

Fax(304) 831-1958

Organization SubpartNo

Authorized OfficialJohnetta TraylorAo · (502) 596-6063

Enumeration DateMay 20, 2006

Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1720032105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

20 HOSPITAL DR, Logan, WV 25601

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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 CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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.

THE TRAINING ROOM INC

Durable Medical Equipment & Medical Supplies

20 HOSPITAL DR, DOCTORS PARK
LOGAN, WV 25601

Logan County (410) 374-4000

TIMOTHY M REED FNP

Nurse Practitioner (Family)