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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN ANDREW SHIVELY, PA

Active

LOGAN ANDREW SHIVELY, PA is a Physician Assistant healthcare provider located in CINCINNATI, Ohio. NPI 1558907717 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CINCINNATI, OH

Registration Details

NPI Number
1558907717
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2019 (6.7458684051015 yrs)
Last Updated
Sep 20, 2022
License
50.006704 (OH)

Practice Information

Address
2139 AUBURN AVE
CINCINNATI, OH, 452192906
Browse OH providers · Browse ZIP 45219
Phone
5137927445
Fax
5137914042
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CINCINNATI, OH

Name Credential NPI
MRS. LARISSA MARIE KAHLE P.A.-C 1386647261
MR. STEVEN J WURZELBACHER PA-C 1134128317
PATRICK JAMES CAFFERTY MPAS, PA-C 1447240023
MS. TAMMY R JEWELL PA 1750363859
SCOTT A HAGA PAC 1730162199
ALTOVISE CATRICE SCOTT PA-C 1295713352
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.