LOGAN C. WALTER D.O. – NPI #1750760187
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

LOGAN WALTER is a physician located in MESA, AZ. NPPES has assigned the NPI number 1750760187 to LOGAN WALTER on May 18, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Nov 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOGAN WALTER below.

NPI Profile for
LOGAN C. WALTER

NPI Number
1750760187
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LOGAN C. WALTER
Credentials
D.O.
Primary location
4824 E BASELINE RD STE 129
MESA, AZ 85206-4679
Phone: (480) 644-1001 Fax: (480) 464-8722
1 Other location(s):
580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757
Phone: (520) 381-0380
Fax: (520) 836-1826
Mailing address
PO BOX 748817
ATLANTA, GA 30374-8817
Phone: (813) 286-0033 Fax: (813) 282-1806
Sole Proprietor
Yes
Updated
Certification Date
Nov 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 AZ 8486
208600000X
- Surgery		 MI IN PROGRESS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LOGAN WALTER is affiliated with the following medical group(s):
  • HOSPITAL
    • BANNER CASA GRANDE MEDICAL CENTER
      1800 EAST FLORENCE BOULEVARD
      CASA GRANDE, AZ 85122

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.