Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan General Hospital LLC

Organization Anesthesiology Physician · NPI 1720032105

Logan General Hospital LLC is an Anesthesiology Physician in Logan, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Hospital Dr
Logan, WV 25601-3452
Phone: (304) 831-1101
Fax: (304) 831-1958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Anesthesiology Physician Taxonomy 207L00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Body Imaging Physician Taxonomy 2085B0100X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
General Practice Physician Taxonomy 208D00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1720032105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Ao · (502) 596-6063
NPI enumeratedMay 20, 2006
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address680 S 4th St, Louisville, KY 40202-2407

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