Logan D Blunk, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0102209873 Issued in VA

Practice address

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Phone

(540) 853-0222

Fax

(540) 981-7855

NPI assigned

Apr 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Anesthesiology

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians

Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Carilion Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • Roanoke, VA
  • NPI 1184634156
  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520
  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Solutions of Florida II, LLC

  • Anesthesiology Physician
  • Naples, FL
  • NPI 1891318481
  Medicare reassignment Care Compare group
• Abbott Anesthesiologist Associates PC

  • Specialist
  • Buffalo, NY
  • NPI 1902025513
  Medicare reassignment NPD
• Parkside Medical Anesthesia Associates

  • Anesthesiology Physician
  • Buffalo, NY
  • NPI 1871537464
  Medicare reassignment NPD

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

• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regiona Medical Center-Collier

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regional Medical Center-Pine Ridge

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1558895201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-853-0222",
            "fax_number": "540-981-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142142692",
            "country_code": "US",
            "telephone_number": "716-836-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUNK",
        "first_name": "LOGAN",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS19220",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "310721",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102209873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Physical Medicine
• Blue Ridge Telehealth
• Blue Ridge Urogynecology, Inc
• Blue Ridge Vascular & Endovascular Institute LLC
• Blue Ridge Wound Care LLC
• Leah Michele Boardwine, PHARM.D.
• Allison Lippert Boatman, MD
• Christopher David Boch, RPH
• Charles Lawrence Bock, CRNA
• Jeanne Bodner, NP

• Anesthesiology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.