Terry L Vogt, PA
Individual provider Active NPI Physician Assistant · Galena, KS
NPI 1043437767 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1043437767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01156 (KS)
- Practice address
- 444 Four States Dr
Suite 1
Galena, KS 66739 - Phone
- (620) 783-4441
- Fax
- (620) 783-4444
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Joplin LLC
Providence Health and Services Oregon
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
1108 June St
Hood River, OR 97031-1513
Phone (541) 387-6125
Hospital & facility affiliations
- Mercy Hospital Joplin
- Mercy Hospital Pittsburg, Inc
- Mercy Hospital Carthage
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090923000368 | MO | Practitioner - Physician Assistant | 0941371603 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01156 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of the Four States LLC | Past | Accepting new patients |
Interoperability endpoints
- tvogt204143@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01156 | KS | Yes |
Addresses
Primary practice location
444 Four States Dr
Suite 1
Galena, KS 66739
Mailing address
444 Four States Dr
Galena, KS 66739-4324
Phone (620) 783-4441
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.