Logan Adam Forgey
Nurse Anesthetist, Certified Registered in Tampa, FL. Individual provider (NPI-1).
NPI number1124772272
StatusActive
Last updated in NPPESApr 7, 2026
Details
- NPI
- 1124772272
- Entity type
- Individual (NPI-1)
- Name
- Logan Adam Forgey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2022
- Certification date
- Apr 7, 2026
- Last updated
- Apr 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024191620 | VA | Yes |
| 163W00000X | Registered Nurse | 0001342729 | VA | |
| 367500000X | Nurse Anesthetist, Certified Registered | RN9424548 | FL |
Practice location
4202 E Fowler AveTampa, FL 33620-8000
Phone 813-974-2011
Mailing address
70 Davis Blvd Apt 2Tampa, FL 33606-3418
Phone 352-727-9087
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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