Jodie Elizabeth Vogtman, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C0002681 Issued in MD

Practice address

253 Lewis Lane Ste 302
Havre de Grace, MD 21014-2221

Phone

(410) 942-0620

NPI assigned

Jul 25, 2006

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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jodie.vogtman.1@7962.direct.athenahealth.com

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.

• Sports & Spine Pain Management, LLC

  • Medical Specialty Clinic/Center
  • Havre de Grace, MD
  • NPI 1154752202
  Medicare reassignment
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• Greater Chesapeake Orthopedics Associates, LLC

  • Specialist
  • Baltimore, MD
  • NPI 1639187420
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1285656249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 YANKEE DOODLE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LEWIS LANE STE 302",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210142221",
            "telephone_number": "410-942-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGTMAN",
        "first_name": "JODIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0002681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Chesapeake Surgical Associates, LLC
• Julianna Marie Vaeth, FNP-C
• Griffin Van Breemen
• William Vanemburg
• Margaret Mary Vaughan, M.D.
• Elizabeth Vujanovich
• Matt Wachsman, MD PHD
• Lisa Marie Wainwright, LMSW
• Walgreen Co (Rite Aid #18899)
• Tanya L Wallace, LMT

• Surgical Physician Assistant in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.