Victoria C Voegel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085000377 Issued in IL

Practice address

1414 Woodbine Rd
Bloomington, IL 61704-2817

Phone

(309) 662-2273

Fax

(309) 662-2014

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1083609986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 WOODBINE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042817",
            "telephone_number": "309-662-2273",
            "fax_number": "309-662-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WOODBINE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042817",
            "telephone_number": "309-662-2273",
            "fax_number": "309-662-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOEGEL",
        "first_name": "VICTORIA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085000377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "833120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visionpoint Eye Center LLC
• Vitalrehab Physical Therapy, LLC
• Nick A Vlachos, M.D.
• Christine A Vo, PHARMD.
• Gabriela Vo, LCPC
• Beth Anne Vogel, LCSW
• Nicholas Ray Von Holten, PA-C
• Amaresh Vydyanathan, MD, MS
• William Claude Wagner, DDS
• Amanda Wait, B.A.

• Physician Assistant in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.