Logan Jon Danielson, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OP61566334 Issued in WA

Practice address

1330 N Washington St Ste 1080
Spokane, WA 99201-2446

Phone

(509) 824-7327

NPI assigned

Mar 25, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGGDCA

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

• Emergency Responders Health Center, LLC

  • Sports Medicine (Family Medicine) Physician
  • Spokane, WA
  • NPI 1043031206
  NPD
• Emergency Responders Health Center, LLC

  • Primary Care Clinic/Center
  • Boise, ID
  • NPI 1912189481
  NPD (past)

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1831620327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W CENTENNIAL PL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013135",
            "telephone_number": "208-249-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N WASHINGTON ST STE 1080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012446",
            "telephone_number": "509-824-7327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Bancroft Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947207419",
            "country_code": "US",
            "telephone_number": "510-642-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9976 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049769",
            "country_code": "US",
            "telephone_number": "208-229-3742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "LOGAN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "ID",
            "license": "3961866",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "OP61566334",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A20017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Daniels, MOT
• Margaret Elizabeth Daniels, RN
• Shawn Daniels, RN60243332
• Scott M Danielsen, RN
• Jennifer Danielson
• Rochelle Elise Danielson, MA COUNSELING INTERN
• Tory Shillaire Daniewicz, M.S.
• Matthew Danis
• Aaron Darais, D.O.
• Darci Sheridan Counseling PLLC

• Sports Medicine (Family Medicine) Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Sports Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.