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

Logan J Mirandette, PA-C

Individual provider Physician Assistant · NPI 1699305888

Logan J Mirandette, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Orthopaedic Associates of Grand Rapids PC, a 86-clinician group, works from 4 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone: (616) 459-7101
Fax: (616) 464-6170
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 605 Oak St, Big Rapids, MI 49307-2048 — (231) 796-8691
  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-1774
  • 300 N Patterson Rd, Reed City, MI 49677-8041 — (231) 832-3271

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1699305888
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthopaedic Associates Of Grand Rapids Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grand Rapids