DIETZE & LOGAN SPINE SPECIALIST, LLC
NPI 1609316322
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Lacombe, LA
NPI Status: Active since February 28, 2017
Contact Information
29301 N DIXIE RANCH RD
LACOMBE, LA
ZIP 70445
Phone: (985) 871-4114
Fax: (985) 871-4130
- Organization
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- Accepts Insurance
- CLIA Number: 19D2141742
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-19-2025
About DIETZE & LOGAN SPINE SPECIALIST, LLC
This page provides the complete NPI Profile along with additional information for Dietze & Logan Spine Specialist, Llc, a provider established in Lacombe, Louisiana operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1609316322 assigned on February 2017. The practitioner's primary taxonomy code is 207XS0117X with license number MD020254 (LA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Dietze & Logan Spine Specialist, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John B Logan M.d. (Partner)
- NPI
- 1609316322
- Provider Name
- DIETZE & LOGAN SPINE SPECIALIST, LLC
- Entity Type
- Organization
- Location Address
- 29301 N DIXIE RANCH RD LACOMBE, LA 70445
- Location Phone
- (985) 871-4114
- Location Fax
- (985) 871-4130
- Mailing Address
- 29301 N DIXIE RANCH RD LACOMBE, LA 70445
- Mailing Phone
- (985) 871-4114
- Mailing Fax
- (985) 871-4130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2017
- Last Update Date
- 02-28-2017
- Code Navigator
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
Orthopaedic Surgery Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD020254
- License State
- LA
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2141742
- Facility Type
- Physician Office
- Certificate Effective Date
- December 20, 2023
- Certificate Expiration Date
- December 19, 2025
- Laboratory Director
- JOHN B. LOGAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dietze & Logan Spine Specialist, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DIETZE & LOGAN SPINE SPECIALIST, LLC
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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 | 6 | 0 | 9 | 3 | 1 | 6 | 3 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 1 | 12 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 1 + 1 + 2 + 3 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1609316322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013983378 | LORENZO BOYKIN FISHER APRN, FNP-C Individual | Nurse Practitioner | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1851571863 | PROF. LISA ANN GUST P. T. Individual | Physical Therapist | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1235520164 | AMY ST. ROMAIN P.T. Individual | Physical Therapist | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1316913635 | DONALD DAVID DIETZE JR. MD Individual | Neurological Surgery | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1295266195 | INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING Organization | Prevention Professional | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1366973935 | SPINE INNOVATIONS, LLC Organization | Specialist | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1134650708 | FREEDOM SPINE, LLC Organization | Specialist | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
| 1538135868 | JOHN BRISBANE LOGAN MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 29301 N DIXIE RANCH RD LACOMBE, LA 70445 (985) 871-4114 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609316322, enumerated in the NPI registry as an "organization" on February 28, 2017
The provider is located at 29301 N Dixie Ranch Rd Lacombe, La 70445 and the phone number is (985) 871-4114
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XS0117X with a focus in Orthopaedic Surgery of the Spine
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 19D2141742 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 28, 2017. 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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