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

Logan K Sussman

Individual provider Physician Assistant · NPI 1043967078

Logan K Sussman is a Physician Assistant in Henderson, Nevada. Qualified in 2021, 5 years ago. Practices with J Robert West MD Inc, a 138-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

880 Seven Hills Dr Ste 260
Henderson, NV 89052-4373
Phone: (702) 990-4800
Fax: (702) 990-4808
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2611 (NV)

Record details

NPI number1043967078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address2285 Corporate Cir Ste 200, Henderson, NV 89074-7759

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Henderson