MARK LOGAN M.D. NPI 1720077407

NPI Information

  • NPI: 1720077407
  • Provider Name: MARK LOGAN, M.D.
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 PROFESSIONAL BLVD
    EVANSVILLE, IN
    ZIP 47714
  • Phone: (812) 473-2060

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NPI Details

Mark Logan, M.D. is an otolaryngology in Evansville, IN with 34 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Mark Logan, M.D. NPI is 1720077407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1401 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714-014
Phone: (812) 473-2060
Fax: (812) 473-0763

The NPI 1720077407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Test to assess middle ear function (HCPCS:92567)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Simple control of nose bleed (HCPCS:30901)
  • Removal of impacted ear wax (HCPCS:69210)
  • Test to assess middle ear function (HCPCS:92567)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/17/2005 and was last updated on 6/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology32870KENTUCKYNo
2207Y00000XOtolaryngology01046534AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000045660OTHERKENTUCKYANTHEM
2000000045660OTHERINDIANAANTHEM
3040003023OTHERKENTUCKYRR MEDICARE
4200149220AMEDICAIDINDIANA
5P00076697OTHERINDIANARR MEDICARE
664328701MEDICAIDKENTUCKY
7064945OTHERINDIANAHEALTH ALLIANCE
8394258OTHERINDIANAHEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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