MEDICARE: DANIEL BLAKE LOGAN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36003350	OH

General Provider Information

NPI Number	:	1699771865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL BLAKE LOGAN D.P.M.

Provider Business Mailing Address
First Line	:	426A BEECHER RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-1797
Country	:	US
Telephone Number	:	614-939-9330
Fax Number	:	614-939-9299

Provider Business Practice Location Address
First Line	:	426A BEECHER RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-1797
Country	:	US
Telephone Number	:	614-939-9330
Fax Number	:	614-939-9299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	04/22/2021

Similar Medicare Providers

1407963366 — DR. JEFFREY TILSON DDS
Practice Location Address:

426 BEECHER RD
GAHANNA, OH
43230-1797

Practice Phone: 614-939-4800
Practice Fax: 614-939-5945

1619084670 — MICHAEL P. FLEITZ, DDS, INC.
Practice Location Address:

426 BEECHER RD
GAHANNA, OH
43230-1797

Practice Phone: 614-939-4800
Practice Fax: 614-939-5945

1083721948 — DR. MICHAEL P FLEITZ DDS
Practice Location Address:

426 BEECHER RD
GAHANNA, OH
43230-1797

Practice Phone: 614-939-4800
Practice Fax: 614-939-5945

1669575734 — FOOT & ANKLE SPECIALISTS OF
Practice Location Address:

426 BEECHER RD , STEA
GAHANNA, OH
43230-1797

Practice Phone: 614-939-9330
Practice Fax: 614-939-9299

1215010780 — DR. DALE R. THEIS D.D.S
Practice Location Address:

440 BEECHER ROAD
GAHANNA, OH
43230-1797

Practice Phone: 614-855-5828
Practice Fax: 614-855-5827

1669555975 — DR. WILLIAM R KAYE D.D.S.
Practice Location Address:

420 BEECHER RD , SUITE A
GAHANNA, OH
43230-1797

Practice Phone: 614-775-0222
Practice Fax: 614-775-0824

Directions to “ DANIEL BLAKE LOGAN D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.