Provider Demographics
NPI: | 1689642209 |
---|---|
Name: | VOGEL, JOSEPH V (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | JOSEPH |
Middle Name: | V |
Last Name: | VOGEL |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1899 TATE BLVD SE |
Mailing Address - Street 2: | SUITE 1105 |
Mailing Address - City: | HICKORY |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28602-4200 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-322-3821 |
Mailing Address - Fax: | 828-322-6697 |
Practice Address - Street 1: | 1899 TATE BLVD SE |
Practice Address - Street 2: | SUITE 1105 |
Practice Address - City: | HICKORY |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28602-4200 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-322-3821 |
Practice Address - Fax: | 828-322-6697 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-03-09 |
Last Update Date: | 2010-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 26609 | 207ZB0001X, 207ZC0500X, 207ZD0900X, 207ZF0201X, 207ZH0000X, 207ZI0100X, 207ZM0300X, 207ZN0500X, 207ZP0007X, 207ZP0101X, 207ZP0102X, 207ZP0104X, 207ZP0105X, 207ZP0213X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No | 207ZB0001X | Allopathic & Osteopathic Physicians | Pathology | Blood Banking & Transfusion Medicine |
No | 207ZC0500X | Allopathic & Osteopathic Physicians | Pathology | Cytopathology |
No | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology |
No | 207ZF0201X | Allopathic & Osteopathic Physicians | Pathology | Forensic Pathology |
No | 207ZH0000X | Allopathic & Osteopathic Physicians | Pathology | Hematology |
No | 207ZI0100X | Allopathic & Osteopathic Physicians | Pathology | Immunopathology |
No | 207ZM0300X | Allopathic & Osteopathic Physicians | Pathology | Medical Microbiology |
No | 207ZN0500X | Allopathic & Osteopathic Physicians | Pathology | Neuropathology |
No | 207ZP0007X | Allopathic & Osteopathic Physicians | Pathology | Molecular Genetic Pathology |
No | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No | 207ZP0104X | Allopathic & Osteopathic Physicians | Pathology | Chemical Pathology |
No | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology/Laboratory Medicine |
No | 207ZP0213X | Allopathic & Osteopathic Physicians | Pathology | Pediatric Pathology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 220018419 | Other | RAILROAD MEDICARE |
NC | 8985094 | Medicaid | |
NC | 85094 | Other | BCBS OF NORTH CAROLINA |
NC | 8985094 | Medicaid | |
NY | D92889 | Medicare UPIN |