Individual provider Active NPI

Drummond Grant Vogan, M.D.

  • Emergency Medicine Physician
  • Mesa, AZ
National Provider Identifier
1114182318
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101246695 Issued in VA
Practice address
4850 E Baseline Rd Ste 107
Mesa, AZ 85206-4626
Phone
(480) 908-9892
Fax
(602) 661-1189
NPI assigned
Jul 28, 2008
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101246695 VA Primary

Addresses

Primary practice location

4850 E Baseline Rd Ste 107
Mesa, AZ 85206-4626

Mailing address

4850 E Baseline Rd Ste 107
Mesa, AZ 85206-4626
Phone (480) 908-9892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518001750 AZ Practitioner - Emergency Medicine 2365614005 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101246695VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Nes Arizona Inc Emergency Medicine Current Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Oct 2, 2020 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Oct 18, 2016 Accepting new patients
Benson Hospital Corporation CurrentSince Mar 1, 2017 Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Benson Hospital Corporation CurrentSince Mar 1, 2017 Accepting new patients
VA-I Medical Services PC Past Accepting new patients
Ehra Medical Services of Virginia, PC Emergency Medicine Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

7300 State Highway 121
Ste 374
McKinney, TX 75070

Organizations & group practices 9

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1114182318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-908-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-908-9892",
            "fax_number": "602-661-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGAN",
        "first_name": "DRUMMOND",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101246695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.