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

Logan Marie Hubler

Individual provider Physician Assistant · NPI 1417791633

Logan Marie Hubler is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Registered with an NPI since 2024.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

600 S 43rd St
Philadelphia, PA 19104-4418
Phone: (610) 660-1000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417791633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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