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Deactivated NPI 1497816698 Deactivated / Inactive NPI Male Practitioner

Russell Warren Logan , DOCTOR OF CHIROPRACT

Chiropractor • Lamar, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Russell Logan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2006
NPI Deactivation Date April 17, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Russell Logan, DOCTOR OF CHIROPRACT was a registered Chiropractor practicing in Lamar, MO. Throughout an active medical career spanning 18 years, Russell Logan provided care at the practice location at 911 GULF STREET until profile deactivation on 2024-04-17.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

911 Gulf Street

Lamar, MO 647591406

Telephone 4176823466
Fax 4176823600

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lamar, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Lamar, MO (2674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
9.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
62 23 $39.68 $35.94

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 004214

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 17, 2024

Record deactivated on April 17, 2024

NPI Profile Active September 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 13, 2011

Registered at 911 GULF STREET, LAMAR, MO 647591406 (Tel: 4176823466)

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Updated Business Mailing Address September 13, 2011

Registered at 911 GULF STREET, LAMAR, MO 647591406 (Tel: 4176823466)

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Provider Name / Credentials Updated September 13, 2011

Recorded as RUSSELL LOGAN, DOCTOR OF CHIROPRACT

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2011

Chiropractor (License #004214 in MO)

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Initial NPI Registration & Enumeration December 12, 2006

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: 1497816698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: September 13, 2011
Deactivation Date: April 17, 2024

Mailing Address

911 Gulf Street

Lamar, MO 647591406

Phone: 4176823466

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.