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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LOGAN GENERAL HOSPITAL LLC
NPI 1720032105
Podiatrist in Logan, WV

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: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Mar 6, 2026, Jun 26, 2025 and 1 more (4 updates tracked since 2020).

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 Charlotte Lawrence, Secretary, 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 Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(304) 831-1101
Fax(304) 831-1958
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7688
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 3, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 3, 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
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan General Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Logan General Hospital LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner11
Internal Medicine7
Family Practice4
General Surgery4
Neurology4
Podiatry3
Urology3
Anesthesiology2
9 other specialties12

Nearest to this location (20)

See all 50
Robert Perez, M.D.
Internal Medicine
NPI 1073578647
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1630
✔ PECOS✔ Accepts MedicareSame address
Zial Salem, M.D.
Gastroenterology
NPI 1679538052
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1820
✔ PECOS✔ Accepts MedicareSame address
Jennifer Vernatter, APRN FNP-BC
Nurse Practitioner
NPI 1902456718
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts MedicareSame address
Brandi Vance, FNP-C
Nurse Practitioner
NPI 1366001026
83 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts MedicareSame address
Regenea Quick
Nurse Practitioner
NPI 1134724826
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1891
✔ PECOS✔ Accepts MedicareSame address
Kozhaya Mallah, MD
Internal Medicine
NPI 1376717694
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1602
✔ PECOS✔ Accepts Medicare0.1 mi
Kamel Marzouk, M.D.
Pulmonary Disease
NPI 1275575391
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1891
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Mccleary, DO
Orthopedic Surgery
NPI 1538145313
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1818
✔ PECOS✔ Accepts Medicare0.1 mi
Waris Waris
Medical Oncology
NPI 1891807822
20 HOSPITAL DR
Logan, WV 25601
(304) 239-8070
✔ PECOS✔ Accepts Medicare0.1 mi
Travis Blanton, MD
Anesthesiology
NPI 1013479856
70 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare0.1 mi
Roderick Young, M.D.
Family Practice
NPI 1235295072
60 HOSPITAL DR
Logan, WV 25601
(304) 831-1335
✔ PECOS✔ Accepts Medicare0.1 mi
William Mullen, D.O.
Anesthesiology
NPI 1760446686
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1477
✔ PECOS✔ Accepts Medicare0.1 mi
James Paugh, D.O.
General Surgery
NPI 1083866511
77 HOSPITAL DRIVE
Logan, WV 25601
(304) 792-1847
✔ PECOS✔ Accepts Medicare0.2 mi
Mark Tarakji, MD
General Surgery
NPI 1952645111
77 HOSPITAL DRIVE
Logan, WV 25601
(304) 792-1847
✔ PECOS✔ Accepts Medicare0.2 mi
Subhash Bhanot, MD
Urology
NPI 1356370142
140 STOLLINGS AVE SUITE 1
Logan, WV 25601
(304) 752-2555
✔ PECOS1.5 mi
Benjamin Tackett, FNP
Nurse Practitioner
NPI 1265959704
140 STOLLINGS AVE STE 1
Logan, WV 25601
(304) 752-2555
✔ PECOS✔ Accepts Medicare1.5 mi
Carla Ramey, FNP-C
Nurse Practitioner
NPI 1700262581
1690 HOLDEN RD
Logan, WV 25601
(304) 239-2147
✔ PECOS✔ Accepts Medicare2.5 mi
Robert Toparis, DO
Hospitalist
NPI 1558352732
601 HOLDEN RD
Holden, WV 25625
(304) 239-2147
✔ PECOS✔ Accepts Medicare3.0 mi
Tonya Crum
Nurse Practitioner
NPI 1205719770
555 MAIN STREET
Chapmanville, WV 25508
(304) 688-9901
✔ PECOS✔ Accepts Medicare8.8 mi
Zackery Asbury, MD
Family Practice
NPI 1508489246
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS✔ Accepts Medicare9.4 mi
See all 50 clinicians

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

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 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.

Where is Logan General Hospital LLC located?

Logan General Hospital LLC is located at 20 Hospital Dr, Logan, WV 25601. The listed phone number is (304) 831-1101.

What is Logan General Hospital LLC's specialty?

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

Is Logan General Hospital LLC enrolled in Medicare?

Yes. Logan General Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Logan General Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 17 Medicare specialties reassign their Medicare billing to Logan General Hospital 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. The largest specialties are Nurse Practitioner (11), Internal Medicine (7) and Family Practice (4). Of these, 5 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Logan General Hospital LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Logan General Hospital 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 Logan General Hospital LLC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.