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

Individual provider Family Medicine Physician · NPI 1962025577

Logan Tyler Garthe, MD is a Family Practice in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 N 4th St
Springfield, IL 62702-5238
Phone: (618) 406-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.076610 (IL)

Record details

NPI number1962025577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESJuly 11, 2020
Certification dateJuly 11, 2020
Mailing addressPo Box 19670, Springfield, IL 62794-9670

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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