Individual provider Active NPI

Daniel Blake Logan, D.P.M.

  • Podiatrist
  • Gahanna, OH
National Provider Identifier
1699771865
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003350 Issued in OH
Practice address
426A Beecher Rd
Gahanna, OH 43230-1797
Phone
(614) 939-9330
Fax
(614) 939-9299
NPI assigned
Jun 22, 2005
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003350 OH Primary

Addresses

Primary practice location

426A Beecher Rd
Gahanna, OH 43230-1797

Mailing address

426A Beecher Rd
Gahanna, OH 43230-1797
Phone (614) 939-9330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.logan@FAASOCOL-OH.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050623000195 OH Practitioner - Podiatry 3072558790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

109 Commerce Park Dr
Westerville, OH 43082-8349
Phone (380) 201-3390

1920 Tamarack Rd
Newark, OH 43055-2303
Phone (614) 339-2000

680 Buckles CT N
Suite 2a
Gahanna, OH 43230-6928
Phone (614) 339-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003350OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of Central Ohio LLC CurrentSince Nov 1, 2010 Accepting new patients
Oh Independent Medical Group LLC Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Sep 1, 2025 Accepting new patients
Foot and Ankle Specialists of Central Ohio, LLC Podiatrist CurrentSince Nov 1, 2010 Accepting new patients

Locations

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

426 Beecher Rd
Ste A
Gahanna, OH 43230
Phone (614) 939-9330

1920 Tamarack Rd
Newark, OH 43055
Phone (614) 755-5151

109 Commerce Park Dr
Westerville, OH 43082
Phone (380) 201-3390

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: daniel.logan.2@26020.direct.athenahealth.com
  • Direct secure messaging: daniel.logan@faasocol-oh.direct.office.nextgen.com

Organizations & group practices 4

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 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1699771865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426A BEECHER RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301797",
            "telephone_number": "614-939-9330",
            "fax_number": "614-939-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426A BEECHER RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301797",
            "telephone_number": "614-939-9330",
            "fax_number": "614-939-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "DANIEL",
        "middle_name": "BLAKE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.logan@FAASOCOL-OH.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "426A Beecher Rd",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432301797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.