Active NPI
Kristin Vogt, MD
- Aerospace Medicine Physician
- Wpafb, OH
National Provider Identifier
1417136177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 01065969A
- Practice address
- 88TH Medical Group
4881 Sugar Maple Drive
Wpafb, OH 45433 - Phone
- (937) 255-4809
- NPI assigned
- Oct 30, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01065969A | IN | |
| Aerospace Medicine Physician | 2083A0100X | 01065969A | IN | Primary |
Addresses
Primary practice location
88TH Medical Group
4881 Sugar Maple Drive
Wpafb, OH 45433
Mailing address
88TH Medical Group
4881 Sugar Maple Drive
Wpafb, OH 45433
Phone (937) 255-4809
Other practice location 1
2501 Capehart Rd
Offutt AFB, NE 68113
Phone (402) 294-7346
Other practice location 2
86th MDG Unit 3215
Apo, AE 09094-3215
Phone (314) 479-2282
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065969A | IN | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1417136177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88TH MEDICAL GROUP",
"address_2": "4881 SUGAR MAPLE DRIVE",
"city": "WPAFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-255-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88TH MEDICAL GROUP",
"address_2": "4881 SUGAR MAPLE DRIVE",
"city": "WPAFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-255-4809"
}
],
"practiceLocations": [
{
"address_1": "2501 Capehart Rd",
"address_purpose": "LOCATION",
"city": "Offutt AFB",
"state": "NE",
"postal_code": "68113",
"country_code": "US",
"telephone_number": "402-294-7346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86th MDG Unit 3215",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "090943215",
"country_code": "US",
"telephone_number": "314-479-2282",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "VOGT",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-30",
"last_updated": "2024-08-23",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01065969A",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "IN",
"license": "01065969A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wpafb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.