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

Logan Wolfe

Individual provider Physician Assistant · NPI 1205277761

Logan Wolfe is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2013

Practice location Address checks out

1705 Warren Ave Ste 101103 Ste 101103
Williamsport, PA 17701-2647
Phone: (570) 321-2020
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA059008 (PA)

Record details

NPI number1205277761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESMay 24, 2021
Mailing address1201 Grampian Blvd, Suite 101103, Williamsport, PA 17701-1900

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Williamsport