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

Logan Prock

Individual provider Physician Assistant · NPI 1811739121

Logan Prock is a Physician Assistant in Washington, District of Columbia. Qualified in 2024, 2 years ago. Practices with Washington Neurosurgical Associates, P. C., a 3-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone: (202) 537-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1811739121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Washington Neurosurgical Associates, P. C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Washington