Individual provider Active NPI

Logan Orr, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jasper, IN
National Provider Identifier
1407416472
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
41000394A Issued in IN
Practice address
645 W 5TH St
Jasper, IN 47546-3172
Phone
(812) 634-2778
Fax
(812) 634-2909
NPI assigned
Jun 20, 2019
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 41000394A IN Primary

Addresses

Primary practice location

645 W 5TH St
Jasper, IN 47546-3172

Mailing address

645 W 5TH St
Jasper, IN 47546-3172
Phone (812) 634-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614001536 IN Practitioner - Podiatry 7618356163 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Midwestern University College of Dental Medicine, Glendale, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patoka Valley Podiatry PCGroup PAC ID 2961582655, 4 clinicians

Practice addresses (Care Compare)

507 E 19TH St
Huntingburg, IN 47542-9388
Phone (812) 683-1891

600 W 13TH St
Jasper, IN 47546-1882

645 W 5TH St
Jasper, IN 47546-3172
Phone (812) 634-2778

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue397
Removal of nail tissue610
Removal or shaving of skin growth355
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41000394AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Patoka Valley Podiatry P.C. Foot & Ankle Surgery CurrentSince Oct 30, 2023 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jan 6, 2024 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jan 6, 2024 Accepting new patients
Healthdrive Podiatry Group, PC CurrentSince Apr 3, 2023 Accepting new patients
Deaconess Specialty Physicians, Inc Past Accepting new patients
Cornils Family Dentistry LLC Past Accepting new patients

Locations

507 E 19th St
Huntingburg, IN 47542
Phone (812) 683-1891

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

645 W 5th St
Jasper, IN 47546
Phone (812) 634-2778

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1407416472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "LOGAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "41000394A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.