Active NPI
Marjorie A. Vogt, CNP
- Nurse Practitioner
- Sunbury, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.03795.NA
- Practice address
- 100 Tippett CT
Suite 101
Sunbury, OH 43015-1047 - Phone
- (740) 965-3123
- Fax
- (740) 965-9713
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA03795NP | OH | |
| Nurse Practitioner | 363L00000X | COA.03795.NA | OH | Primary |
Addresses
Primary practice location
100 Tippett CT
Suite 101
Sunbury, OH 43015-1047
Mailing address
575 Copelan Mill BD Suite 1D
Westerville, OH 43081
Phone (740) 615-1324
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500009946 | Other | TRAVELERS MEDICARE | |
| 2150774 | Medicaid | OH | |
| 353077 | Other | SUBMITTER NO. | |
| NP04703 | Other | PALMETTO MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.03795.NA | OH | MD | Nurse Practitioner |
| COA03795NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Health System | Current | Accepting new patients | |
| Wedgewood Urgent Care, LTD | Current | Accepting new patients | |
| Pro-Active Wound Care Clinics LLC | Past | Accepting new patients | |
| Immediate Health Associates | Past | Accepting new patients | |
| Healthworks, LLC | Past | Accepting new patients |
Locations
4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600
10330 Sawmill Pkwy
Ste 300
Powell, OH 43065
Phone (614) 234-0600
444 N Cleveland Ave
Ste 130
Westerville, OH 43082
Phone (614) 839-1112
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
Organizations & group practices 5
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.
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- Family Medicine Physician
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- NPI 1487601167
-
- Specialist
- Delaware, OH
- NPI 1629018080
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1639123193
-
- Foot & Ankle Surgery Podiatrist
- Dublin, OH
- NPI 1467485813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1114968344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 COPELAN MILL BD SUITE 1D",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "43081",
"telephone_number": "740-615-1324",
"fax_number": "740-615-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TIPPETT CT",
"address_2": "SUITE 101",
"city": "SUNBURY",
"state": "OH",
"postal_code": "430151047",
"telephone_number": "740-965-3123",
"fax_number": "740-965-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "MARJORIE",
"middle_name": "A.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA03795NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.03795.NA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "500009946",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2150774",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER NO.",
"identifier": "353077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MEDICARE",
"identifier": "NP04703",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.