Active NPI
Mark Wesley Vogelgesang, M.D.
- Pediatric Otolaryngology Physician
- Canton, OH
National Provider Identifier
1164560249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 47614
- Practice address
- 4048 Dressler Rd NW
Suite 100
Canton, OH 44718-2784 - Phone
- (330) 479-3333
- Fax
- (330) 479-3334
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 47614 | OH | Primary |
Addresses
Primary practice location
4048 Dressler Rd NW
Suite 100
Canton, OH 44718-2784
Mailing address
104 East Drive
Hartville, OH 44632-8891
Phone (330) 877-1228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47614 | OH | MD | Pediatric Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1164560249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 EAST DRIVE",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446328891",
"telephone_number": "330-877-1228",
"fax_number": "866-422-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 DRESSLER RD NW",
"address_2": "SUITE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447182784",
"telephone_number": "330-479-3333",
"fax_number": "330-479-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGELGESANG",
"first_name": "MARK",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "OH",
"license": "47614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.