John Landiss Logan, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

32200 Issued in CO

Practice address

2005 E 18TH Ave
Denver, CO 80206-1109

Phone

(303) 321-4212

Fax

(303) 388-2459

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1124020771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061109",
            "telephone_number": "303-321-4212",
            "fax_number": "303-388-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061109",
            "telephone_number": "303-321-4212",
            "fax_number": "303-388-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JOHN",
        "middle_name": "LANDISS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "32200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01322007",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340012614",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Loftis, LPC
• Hannah Loftus, LMSW, LSW
• Jill Loftus, OTR/L
• Catherine Anne Logan, MD
• Jeffrey S Logan, PA
• Roy Logan
• Valerie Jewell Logan
• Will R Logan, LCSW, LMFT
• Dawn Verinia Loge Greer, PH.D.
• Logos Healing Institute

• Urology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.