Provider Demographics
NPI:1467958827
Name:SCHERER, LOGAN (PA-C)
Entity Type:Individual
Prefix:
First Name:LOGAN
Middle Name:
Last Name:SCHERER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 COMMERCE PL APT L
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5164
Mailing Address - Country:US
Mailing Address - Phone:541-223-8380
Mailing Address - Fax:
Practice Address - Street 1:555 CAPITOL MALL STE 570
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-4502
Practice Address - Country:US
Practice Address - Phone:541-223-8380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA-2162363AS0400X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical