THEODORE P. LOGAN MD
NPI 1427054873
Pediatrics in South Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 21, 2005

Contact Information

300 Southborough Dr
South Portland,
Post Code: 04106
Phone: (207) 661-2018
Fax: (207) 661-2033

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Theodore P. Logan Md in South Portland - Pediatrics

Theodore P. Logan Md is a Pediatrics in South Portland, . Theodore P. Logan Md practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Theodore P. Logan Md is 1427054873. The last update date is 2017-03-21.

Theodore P. Logan Md's current location address is 300 Southborough Dr, South Portland, . You can contact this provider via phone number (207) 661-2018 and fax number (207) 661-2033. The mailing address for Theodore P. Logan Md is 300 Southborough Dr, South Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1427054873
Provider Name
THEODORE P. LOGAN MD
Gender
Male
Entity Type
Individual
Location Address
300 Southborough Dr, South Portland,
Location Phone
(207) 661-2018
Location Fax
(207) 661-2033
Mailing Address
12 Union St, Rockland, Maine(ME)
Mailing Phone
207-701-4400
Mailing Fax
207-701-4487
Enumeration Date
2005-06-21
Last Update Date
2017-03-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology, Psychiatry

Taxonomy Code
2084P0800X
Type
-
License No.
MD12617
License State
Maine (ME)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208000000X Pediatrics Physician

Pediatrics

012617 (Maine)
2 2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician

Psychiatry & Neurology, Addiction Medicine

MD12617 (Maine)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
047853 Other (non-Medicare) (01) Maine (ME) Anthem Star Number
255750099 MEDICAID (05) Maine (ME)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427054873
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447058814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2447058814
2 + 4 + 4 + 7 + 0 + 5 + 8 + 8 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1427054873 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839222 MICHELLE D. BACHTEL
Individual
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KEY WEST, Florida (FL)
305-294-5727
1376546507 KIMBERLY L CLARK
Individual
Specialist 28 CARSON DR
GORHAM, Maine (ME)
207-839-7117
1386647592 PROFESSIONAL HOME NURSING, INC
PROFESSIONAL HOME NURSING
Organization
Home Health 7 HATCH DR
CARIBOU, Maine (ME)
207-498-3915
1285637421 ANN E DORNEY
Individual
Family Medicine 46 FAIRVIEW AVE STE 334
SKOWHEGAN, Maine (ME)
207-474-6201
1346243482 RANDALL L HOLCOMB
Individual
Orthopaedic Surgery PO BOX 8888
BELFAST, Maine (ME)
901-259-4260