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

Gregary Robert Logan

Individual provider Family Nurse Practitioner · NPI 1770109969

Gregary Robert Logan is a Nurse Practitioner in Painesville, Ohio. Qualified in 2019, 7 years ago. Practices with Minuteclinic Diagnostic of Ohio LLC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

1506 Mentor Ave
Painesville, OH 44077-1705
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Metrohealth Dr, Cleveland, OH 44109-1900 — (216) 778-7800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.026323 (OH)

Record details

NPI number1770109969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address1506 Mentor Ave, Painesville, OH 44077-1705

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Minuteclinic Diagnostic Of Ohio Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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