LOGAN C. FREDERICKSON DO – NPI #1609215573
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LOGAN FREDERICKSON is a physician located in BAKER CITY, OR. NPPES has assigned the NPI number 1609215573 to LOGAN FREDERICKSON on June 24, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his former name LOGAN CLAY WILLIAMS. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOGAN FREDERICKSON below.

NPI Profile for
LOGAN C. FREDERICKSON

NPI Number
1609215573
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LOGAN C. FREDERICKSON
Former Name: LOGAN CLAY WILLIAMS
Credentials
DO
Primary location
3705 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone: (541) 519-4250 Fax: (541) 239-5259
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LOGAN FREDERICKSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAL LICENSEORDO176820
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OR DO176820

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LOGAN FREDERICKSON is affiliated with the following medical group(s):
  • HOSPITAL
    • GRANDE RONDE HOSPITAL
      900 SUNSET DRIVE
      LA GRANDE, OR 97850
    • SAINT ALPHONSUS REGIONAL MEDICAL CENTER
      1055 NORTH CURTIS ROAD
      BOISE, ID 83706
    • ST. ALPHONSUS MEDICAL CENTER - BAKER CITY
      3325 POCAHONTAS ROAD
      BAKER CITY, OR 97814
  • HOME HEALTH AGENCY
    • ENHABIT HOME HEALTH
      2502 COVE AVE., SUITE A
      LA GRANDE, OR 97850
  • HOSPICE
    • HEART N HOME HOSPICE & PALLIATIVE CARE
      1107 NW 11TH STREET
      FRUITLAND, ID 83619

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.