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Active NPI 1558907717 Individual Practitioner Male Practitioner

Logan Andrew Shively , PA

Physician Assistant • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Logan Shively, PA is a registered healthcare professional specializing in Physician Assistant in Cincinnati, OH. Practice services are available at 2139 AUBURN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion, fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2139 Auburn Ave

Cincinnati, OH 452192906

Telephone 5137927445
Fax 5137914042
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
426 Specialists

Practicing in Cincinnati, OH (5376 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.2% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $187.00 $81.99

Medical Specialties & State Licenses

CMS Verified: 2022-09-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.006704

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0496432 (OH)

Practice Associates & Co-Workers

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

20 Associated Practitioners
Lauren Smith , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003066960

ACNPBC

Connie Seeskin , NP

Nurse Practitioner - Acute Care

NPI 1033145248

Nurse Practitioner

Dr. Michael Kramer , MD

Neurological Surgery

NPI 1053351783

Doctor of Medicine (M.D.)

Dr. Rachel Heberling , MD

Physical Medicine & Rehabilitation

NPI 1083833305

Doctor of Medicine (M.D.)

David Brodbeck , PA-C

Physician Assistant - Surgical

NPI 1114069994

Physician Assistant (Certified)

Nicholas Godby

Physical Medicine & Rehabilitation

NPI 1174775464

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 20, 2022

Registered at 2139 AUBURN AVE, CINCINNATI, OH 452192906 (Tel: 5137927445)

📍
Updated Business Mailing Address September 20, 2022

Registered at 2139 AUBURN AVE, CINCINNATI, OH 452192906 (Tel: 5137927445)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2022

Physician Assistant (License #50.006704 in OH)

NPI Profile Active November 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2019

Registered at 1675 LEAHY ST STE 401A, MUSKEGON, MI 494425547 (Tel: 2317274243)

📍
Updated Business Mailing Address November 22, 2019

Registered at PO BOX 1847, MUSKEGON, MI 494431847 (Tel: 2316722119)

👤
Provider Name / Credentials Updated November 22, 2019

Recorded as LOGAN SHIVELY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2019

Physician Assistant (License #5601009683 in MI)

🟢
Initial NPI Registration & Enumeration November 22, 2019

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: 1558907717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2019
Last Update: September 20, 2022
Sole Proprietor: No

Mailing Address

2139 Auburn Ave

Cincinnati, OH 452192906

Phone: 5137927445

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.