Logan Henry Fairchild, DO | |
420 S 5th Ave, West Reading, PA 19611-2143 | |
(484) 628-8269 | |
Not Available |
Full Name | Logan Henry Fairchild |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 420 S 5th Ave, West Reading, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881253649 | NPI | - | NPPES |
OS022631 | Other | PA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS022631 (Pennsylvania) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | OT019238 (Pennsylvania) | Secondary |
Entity Name | Tower Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
Mailing Address | Practice Location Address |
---|---|
Logan Henry Fairchild, DO Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324 | Logan Henry Fairchild, DO 420 S 5th Ave, West Reading, PA 19611-2143 Ph: (484) 628-8269 |
Keith Alan Minnich, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6th Ave & Spruce St, West Reading, PA 19611 Phone: 610-988-8589 Fax: 610-988-5976 | |
Dr. Daniel Katz, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave Dept Of, West Reading, PA 19611 Phone: 484-628-8000 | |
Carol Szarko, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6th Ave And Spruce Street, Reading Anesthesia Associates Ltd, West Reading, PA 19611 Phone: 610-988-8589 Fax: 610-988-5976 | |
Robert Frederick Early Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6th Avenue & Spruce Street, Reading Anesthesia Associates Ltd, West Reading, PA 19611 Phone: 610-988-8589 Fax: 610-988-5976 | |
Robert Mcmurtrie Jr., DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, D1, West Reading, PA 19611 Phone: 484-628-6283 | |
Benjamin Matthew Kline, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6th Avenue And Spruce Street, Reading Anesthesia Associates Ltd, West Reading, PA 19611 Phone: 610-988-8589 Fax: 610-988-5976 | |
Phyllis Anne Parcella, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6th Avenue & Spruce Street, Reading Anesthesia Associates Ltd, West Reading, PA 19611 Phone: 610-988-8589 Fax: 610-988-5976 |