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

Dr. Jonathan Roy Logan, MD

Individual provider Emergency Medicine Physician · NPI 1629018387

Dr. Jonathan Roy Logan, MD is an Emergency Medicine Physician in Fairmont, West Virginia. Licensed in Virginia and West Virginia. Registered with an NPI since 2006.

Licensed in
VA, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1325 Locust Ave
Fairmont, WV 26554-1435
Phone: (304) 367-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101243177 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 20682 (WV)

Record details

NPI number1629018387
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing address6005 Wooland Bluffs Drive, Morgantown, WV 26508

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