Daniel Blake Logan (NPI# 1699771865, PAC ID# 3072558790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1699771865 |
| PAC ID by PECOS | 3072558790 |
| Professional Enrollment ID | I20050623000195 |
| Full Name | Daniel Blake Logan |
| Organization Legal Name | FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC |
| Address |
1 Healthy Pl Suite 202 Pataskala OH 43062-7067 |
| Phone Number | 7403448286 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4981899408 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| 360017 | GRANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 426 Beecher Rd A, Gahanna, OH 43230-1797 | 6149399330 | FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC |
| 1 Healthy Pl, Suite 202, Pataskala, OH 43062-7067 | 7403448286 | FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott David Gurwin | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 1920 Tamarack Rd, Newark, OH 43055-2303 |
| Steven E Szames | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Andrew Jonathan Pierre | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Jacqueline K Donovan | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Amanda L Quisno | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Cherreen Tawancy | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Syed H Mohiuddin | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Scott W Rossio | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Kevin K Ragothaman | Podiatry | Foot and Ankle Specialists of Central Ohio LLC | 426 Beecher Rd A, Gahanna, OH 43230-1797 |
| Street Address |
1 HEALTHY PL SUITE 202 |
| City | PATASKALA |
| State | OH |
| Zip | 43062-7067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Schaeffer | Dermatology | Licking Memorial Professional Corporation | 1 Healthy Pl, Suite 203, Pataskala, OH 43062-7067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher P Mcdonough | Chiropractic | 9315 Columbia Rd Sw, Etna, OH 43062-7126 | |
| Steven Walsh | Optometry | Steven Walsh Optometry | 180 E Broad St, Suite A, Pataskala, OH 43062-7573 |
| Amber N Slezak | Optometry | Steven Walsh Optometry | 180 E Broad St, Suite A, Pataskala, OH 43062-7573 |
| James Mason | Optometry | Steven Walsh Optometry | 180 E Broad St, Suite A, Pataskala, OH 43062-7573 |
| Julia Hoeft | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 8910 Broad St Sw, Pataskala, OH 43062-7886 |
| Christine Charyton | Psychologist, Clinical | 4151 Mink St Sw, Pataskala, OH 43062-8859 | |
| Julia Allerton | Chiropractic | 30 S Township Rd, Pataskala, OH 43062-8952 | |
| Kerri L Marks | Physical Therapy | 202 E Broad St, Pataskala, OH 43062-9500 | |
| Cheryl R Durst | Physical Therapy | Power Ahead Physical Therapy LLC | 202 E Broad St, Pataskala, OH 43062-9500 |
| Lisa C Burgin | Nurse Practitioner | The Little Clinic of Ohio LLC | 350 E Broad St, Pataskala, OH 43062-9551 |
| Find all physicians in zip 43062 | |||
| City | PATASKALA |
| Zip Code | 43062 |
| Specialty | PODIATRY |
| City + Specialty | PATASKALA + PODIATRY |
Please comment or provide details below to improve the information on Daniel Blake Logan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.