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

Zachary Logan

Individual provider Family Medicine Physician · NPI 1538521620

Zachary Logan is a Family Practice in Mesa, Arizona. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Arizona and Tennessee.

Years since qualifying
9
Licensed in
AZ, TN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

6843 E Main St
Mesa, AZ 85207-8207
Phone: (480) 870-7300
Fax: (480) 870-7302
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67357 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 59949 (TN)

Record details

NPI number1538521620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mesa