Logan Roles
NPI 1720887169 · Physician Assistant · Oklahoma City, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Logan Roles is a Physician Assistant provider in Oklahoma City, OK (NPI 1720887169).
Provider details
- NPI number
- 1720887169
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5576 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1102 W Macarthur StShawnee, OK 74804-1743Phone: (405) 273-2270
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Logan Roles's NPI number?
- Logan Roles's National Provider Identifier (NPI) is 1720887169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Roles's specialty?
- Logan Roles is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Logan Roles located?
- Logan Roles's practice location on file with NPPES is 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304.
- What is Logan Roles's phone number?
- The practice phone number listed in the NPPES registry for Logan Roles is (405) 424-5426.
- Does Logan Roles accept Medicare?
- Logan Roles is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Logan Roles's NPI active?
- Yes — Logan Roles's NPI (1720887169) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.