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

Dr. Nevra Sisli King-Logsdon, MD

Individual provider Military Health Care Provider · NPI 1356496079

Dr. Nevra Sisli King-Logsdon, MD is a Neurosurgery in Mesa, Arizona. Qualified in 1993, 33 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, North Carolina, Pennsylvania and Texas.

Years since qualifying
33
Licensed in
AZ, NC, PA, TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4725
Phone: (480) 412-8080
Fax: (480) 412-6999
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 44030 (AZ)
Military Health Care Provider Taxonomy 171000000X · Licence N1368 (TX)
Military Health Care Provider Taxonomy 171000000X · Licence 2009-00154 (NC)
Neurological Surgery Physician Taxonomy 207T00000X · Licence MD429270 (PA)

Record details

NPI number1356496079
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESApril 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services