Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669685301 Individual Practitioner Male Practitioner

Mark P Logue , CPO

Specialist • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Mark Logue, CPO is a registered healthcare professional specializing in Specialist in Clearwater, FL. Practice services are available at 516 LAKEVIEW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

516 Lakeview Rd
Villa 1

Clearwater, FL 337563302

Telephone 7274499292
Fax 7274499393
Associated Practice Facility / Clinic
🏢 Warren Psychiatric Services Facility NPI 1205030517

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clearwater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.3 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
51 Specialists

Practicing in Clearwater, FL (3036 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL POR161

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Quality Health Care
00178 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
M0692 (FL)
Commercial Insurance / Payer ID Universal Healthcare
00124 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. George Warren , MD

Psychiatry & Neurology - Psychiatry

NPI 1073702015

Doctor of Medicine (M.D.)

Dr. Michael Wanger , MD

Internal Medicine

NPI 1437101359

Doctor of Medicine (M.D.)

Marci Johns , ARNP

Nurse Practitioner - Family

NPI 1679605323

Advanced Registered Nurse Practitioner

Dr. John Norris , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1689751901

Doctor of Medicine (M.D.)

Carol Miller , LCSW

Social Worker

NPI 1962691907

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2008

Registered at 516 LAKEVIEW RD, VILLA 1, CLEARWATER, FL 337563302 (Tel: 7274499292)

📍
Updated Business Mailing Address January 09, 2008

Registered at 2214 DONATO DR, BELLEAIR BEACH, FL 337863433 (Tel: 7274499292)

👤
Provider Name / Credentials Updated January 09, 2008

Recorded as MARK LOGUE, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2008

Specialist (License #POR161 in FL)

🟢
Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669685301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: January 09, 2008
Sole Proprietor: No

Mailing Address

2214 Donato Dr

Belleair Beach, FL 337863433

Phone: 7274499292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.