Individual provider Active NPI

Philip J. Vogelzang, MD

  • Vascular & Interventional Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1124063672
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD00029957 Issued in WA
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD00029957 WA Primary
Diagnostic Radiology Physician 2085R0202X MD00029957 WA

Addresses

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036

Mailing address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 2

IdentifierTypeStateIssuer
8138810MedicaidWA
1002975MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080509000276 WA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9830270834 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Washington School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

700 Minor Ave
Seattle, WA 98104-2146
Phone (425) 563-1500

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

747 Broadway RM
Suite 404
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jul 1, 2014 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Swedish Health Services CurrentSince Jul 1, 2014 Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations (25 of 102)

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266

10025 NE 186th St
Bothell, WA 98011
Phone (425) 486-9131

19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151

11245 State Route 525
Clinton, WA 98236
Phone (360) 341-5252

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

20 E J St
Deer Park, WA 99006
Phone (509) 276-8012

7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

1818 121st St SE
Everett, WA 98208
Phone (425) 304-1100

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

3216 Norton Ave
Ste 201
Everett, WA 98201
Phone (425) 258-4624

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

3726 Broadway
Ste 201
Everett, WA 98201
Phone (425) 317-9119

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1124063672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGELZANG",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00029957",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00029957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8138810",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002975",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.