Individual provider Active NPI

William R. Vogt, PA-C

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1013917723
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01999 Issued in TX
Practice address
1721 N Lee Trevino Dr
El Paso, TX 79936-4563
Phone
(915) 590-9424
Fax
(915) 590-9044
NPI assigned
Jul 22, 2005
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01999 TX Primary

Addresses

Primary practice location

1721 N Lee Trevino Dr
El Paso, TX 79936-4563

Mailing address

1721 N Lee Trevino Dr
El Paso, TX 79936-4563
Phone (915) 590-9424

Other identifiers 2

IdentifierTypeStateIssuer
471545YLPSOtherTXWELLMED PTAN
357650601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000964 TX Practitioner - Physician Assistant 9830152420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01999TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Oct 1, 2021 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1013917723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364563",
            "telephone_number": "915-590-9424",
            "fax_number": "915-590-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364563",
            "telephone_number": "915-590-9424",
            "fax_number": "915-590-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "471545YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357650601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.