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

Logan Taylor Sicchitano, PA-C

Individual provider Physician Assistant · NPI 1124594916

Logan Taylor Sicchitano, PA-C is a Physician Assistant in Canonsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
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 →

Practice location Address checks out

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone: (724) 745-3077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060050 (PA)

Record details

NPI number1124594916
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

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