LOGAN JOSEPH MASSMAN
NPI 1861189649
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 20, 2023PECOS Enrolled

900 WALNUT ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Logan Joseph Massman NPPES

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

LOGAN JOSEPH MASSMAN (NPI 1861189649) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861189649

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN JOSEPH MASSMAN

Location Address900 WALNUT STPhiladelphia, PA 19107-5191

Mailing Address1401 Spruce St Apt 303Philadelphia, PA 19102-4591 · (608) 807-9976

Phone(215) 955-6000

Sole ProprietorNo

Enumeration DateApril 20, 2023

Last NPPES UpdateJune 6, 2023

NPPES CertifiedJune 6, 2023

✔ NPI 1861189649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

900 WALNUT ST, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Joseph Massman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.