Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013914241 Individual Practitioner Male Practitioner

Dr. Samuel Ernest Logan , MD, PhD

Plastic Surgery • Saint Joseph, MI

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Logan, MD, PhD is a registered healthcare professional specializing in Plastic Surgery in Saint Joseph, MI. Practice services are available at 3901 STONEGATE PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3901 Stonegate Park
Suite 300

Saint Joseph, MI 490859137

Telephone 2695566000
Fax 2695566020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Saint Joseph, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint Joseph, MI (186 Statewide)

Telehealth Adoption Rate
0.0% 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

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MI 4301056980

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License MI 4301056980

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Specialist

NUCC Taxonomy Code: 174400000X

State License MI 4301056980

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

Medicaid State Provider ID
2663684 (MI)
Medicaid State Provider ID
1013914241 (MI)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1063771087

MD(6, 12)

Melissa Jacobs , FNP-C

Nurse Practitioner

NPI 1225837982

Family Nurse Practitioner (Certified)

Dr. Karen Powers , MD

Plastic Surgery

NPI 1558570580

Doctor of Medicine (M.D.)

NPI 1568504397

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 31, 2017

Registered at 3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 490859137 (Tel: 2695566000)

📍
Updated Practice Location January 31, 2017

Registered at 3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 490859137 (Tel: 2695566000)

👤
Provider Name / Credentials Updated January 31, 2017

Recorded as SAMUEL LOGAN, M.D., PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Specialist (License #4301056980 in MI)

NPI Profile Active April 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2010

Registered at 3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 490859137 (Tel: 2695566000)

📍
Updated Business Mailing Address April 14, 2010

Registered at 1875 BOARDWALK, SAINT JOSEPH, MI 490859664 (Tel: 2694287878)

👤
Provider Name / Credentials Updated April 14, 2010

Recorded as SAMUEL LOGAN, M.D., PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2010

Specialist (License #4301056980 in MI)

🟢
Initial NPI Registration & Enumeration July 01, 2005

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: 1013914241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2005
Last Update: January 31, 2017
Sole Proprietor: No

Mailing Address

3901 Stonegate Park, Suite 300

Saint Joseph, MI 490859137

Phone: 2695566000

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.