PHILLIP K LOGSDON DPM
NPI 1043230089
Podiatrist in Champaign, IL

Active since July 20, 2006
1802 S. MATTIS AVENUE, ORTHOPEDICS, CHAMPAIGN, IL 61821(217) 383-3260 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillip K Logsdon Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP K LOGSDON DPM (NPI 1043230089) is an individual podiatrist in Champaign, Illinois, licensed in Illinois (016003166) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043230089
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePHILLIP K LOGSDONCredential: DPM
Location Address1802 S. MATTIS AVENUE, ORTHOPEDICSChampaign, IL 61821
Mailing Address611 W Park St, BwpcUrbana, IL 61801-2529 · (217) 383-6792
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 7, 2014
NPI 1043230089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in IL · 016003166
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1802 S. MATTIS AVENUE, Champaign, IL 61821

Other Identifiers 6

Medicare UPINT37466
Medicare NSC6447860013IL
Medicare PINIL3270334IL
Other480014262IL · Railroad
Medicare UPINT37466IL
Medicare NSC0533210001IL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821
Orthopaedic Surgery
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821
Physician Assistant
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821
Podiatrist
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821
Physician Assistant
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821
Orthopaedic Surgery
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821
Anesthesiology
1802 S. MATTIS AVENUE, PAIN CENTER
CHAMPAIGN, IL 61821
Orthopaedic Surgery (Hand Surgery)
1802 S. MATTIS AVENUE, ORTHOPEDICS
CHAMPAIGN, IL 61821

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043230089, enumerated as an "individual" on July 20, 2006.

The provider is located at 1802 S. MATTIS AVENUE ORTHOPEDICS CHAMPAIGN, IL 61821 and the phone number is (217) 383-3260.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.