Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan David Driscoll

Individual provider Physician Assistant · NPI 1184264921

Logan David Driscoll is a Physician Assistant in Clive, Iowa. Qualified in 2021, 5 years ago. Practices with Capital Orthopaedics and Sports Medicine PC, a 19-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020

Practice location Address checks out

12499 University Ave Ste 210
Clive, IA 50325-8288
Phone: (515) 440-2676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Grand Ave, Des Moines, IA 50312-4104 — (515) 271-1569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184264921
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2020
Last updated in NPPESAugust 23, 2021
Certification dateJune 14, 2021
Mailing address1005 Ne Cypress Cir, Grimes, IA 50111-1241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Capital Orthopaedics And Sports Medicine Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clive