DR. LOGAN MATTHEW MCDANELD (NPI# 1619001633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619001633 |
| Entity Type | Individual |
| Full Name | DR. LOGAN MATTHEW MCDANELD |
| Credential | MD |
| Practice Address |
750 Wellington Ave Ste 3c Grand Junction CO 81501-6132 |
| Mailing Address |
2635 N 7th St Grand Junction CO 81501-8209 |
| Practice Telephone | 9702983150 |
| Practice Fax Number | 9702983151 |
| Mailing Telephone | 9702982273 |
| Mailing Fax Number | 9702981809 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DR.0050420 | CO | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
LL15994 | OR | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
DR.0050420 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
750 WELLINGTON AVE STE 3C |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531725 | Douglas Brent Rock | Radiology | 750 Wellington Ave, St. Mary's Medical Pavilion, Radiation Oncology, Grand Junction, CO 81501-6132 | 2005-07-08 |
| 1811501307 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2020-09-02 |
| 1588278204 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2020-09-01 |
| 1427536390 | Whitney Work | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2018-08-02 |
| 1841646106 | Joseph Anthony Kaiser | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2016-05-05 |
| 1790144905 | Laura Fox | Physician Assistant | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2016-02-16 |
| 1891109559 | Lucas Gilbride | Radiology | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2014-06-19 |
| 1215378195 | Monika Nevins | Nurse Practitioner | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2013-07-08 |
| 1376981431 | Scott P Donohue | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2013-06-11 |
| 1205272283 | Michelle Akcar | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.