LOGAN DISHAWN MATHUS PTT
NPI 1952146987
Military Health Care Provider in Fort Meade, MD

Active since July 01, 2024
2480 LLEWELLYN AVE, FORT MEADE, MD 20755(301) 677-8796 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Logan Dishawn Mathus Ptt NPPES

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

LOGAN DISHAWN MATHUS PTT (NPI 1952146987) is an individual military health care provider provider in Fort Meade, Maryland and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1952146987
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameLOGAN DISHAWN MATHUSCredential: PTT
Location Address2480 LLEWELLYN AVEFort Meade, MD 20755-7081
Mailing Address4755 English Ave Unit G2Fort George G Meade, MD 20755-2177 · (754) 235-1328
Sole ProprietorNo
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
NPI 1952146987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2480 LLEWELLYN AVE, Fort Meade, MD 20755

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.

Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755

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 Mathus's NPI number?

The NPI number for Logan Mathus is 1952146987. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Logan Mathus located?

Logan Mathus practices at 2480 Llewellyn Ave, Fort Meade, MD 20755. The listed phone number is (301) 677-8796.

What is Logan Mathus's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Logan Mathus was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.