Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark J Logan, PA-C

Individual provider Physician Assistant · NPI 1508994104

Mark J Logan, PA-C is a Physician Assistant in Anchorage, Alaska. Qualified in 2006, 20 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Alaska and Texas.

Years since qualifying
20
Licensed in
AK, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3841 Piper St Ste T300
Anchorage, AK 99508-4624
Phone: (907) 563-3103
Fax: (907) 561-1862
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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 965 (AK)
Physician Assistant Taxonomy 363A00000X · Licence PA05197 (TX)

Record details

NPI number1508994104
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESJune 21, 2011
Mailing address3841 Piper St, Suite T300, Anchorage, AK 99508-4624

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Anchorage