DR. JENNIFER ANNE LOGAN DO
NPI 1407092034
Neuromusculoskeletal Medicine & OMM in Palo Alto, CA
NPI Status: Active since January 03, 2009
Contact Information
359 MIDDLEFIELD RD
PALO ALTO, CA
ZIP 94301
Phone: (650) 323-7345
- Individual
- Female
- Neuromusculoskeletal Medicine & OMM
- Opted-Out Medicare
About JENNIFER LOGAN
This page provides the complete NPI Profile along with additional information for Jennifer Logan, a provider established in Palo Alto, California with a medical specialization in Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1407092034 assigned on January 2009. The practitioner's primary taxonomy code is 204D00000X with license number 20A 8230 (CA). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1407092034
- Provider Name
- DR. JENNIFER ANNE LOGAN DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 359 MIDDLEFIELD RD PALO ALTO, CA 94301
- Location Phone
- (650) 323-7345
- Mailing Address
- 359 MIDDLEFIELD RD PALO ALTO, CA 94301
- Mailing Phone
- (650) 323-7345
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-03-2009
- Last Update Date
- 01-03-2009
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Logan opted out of Medicare effective on 10-08-2020 until 10-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
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
Neuromusculoskeletal Medicine & OMM
- Taxonomy Code
- 204D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20A 8230
- License State
- CA
- Taxonomy Description
- The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-08-2020
Opt-Out End Date: 10-08-2026
Eligible to Order and Refer? No
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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. | |||||||||
| 1 | 4 | 0 | 7 | 0 | 9 | 2 | 0 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 0 | 9 | 4 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 0 + 9 + 4 + 0 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1407092034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174716302 | DR. DESTIA SKINNER N.D. Individual | Naturopath | 359 MIDDLEFIELD RD PALO ALTO, CA 94301 (650) 323-7345 |
| 1134312010 | DR. BRYAN SKINNER N.D. Individual | Naturopath | 359 MIDDLEFIELD RD PALO ALTO, CA 94301 (650) 323-7345 |
| 1710384375 | DR. MIMOSA TIEUTHU TONNU N.D. Individual | Naturopath | 359 MIDDLEFIELD RD PALO ALTO, CA 94301 (650) 323-7345 |
| 1770608101 | GORDON CHURK HANG WONG MD Individual | Psychiatry & Neurology (Psychiatry) | 359 MIDDLEFIELD RD PALO ALTO, CA 94301 (650) 521-6111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407092034, enumerated in the NPI registry as an "individual" on January 03, 2009
The provider is located at 359 Middlefield Rd Palo Alto, Ca 94301 and the phone number is (650) 323-7345
The provider's speciality is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X
No, the provider signed an affidavit on October 08, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 08, 2026.
This NPI record was last updated on January 03, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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