Clifford Vogan MD PC – Internal Medicine Physician

Key facts

NPI: 1417136607
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
License: MD021896E (PA)
Legal business name: CLIFFORD VOGAN MD PC
Practice address: 882 E Brady Rd
Cowansville, PA 16218-1316
Phone: (724) 548-7909
NPI assigned: Oct 24, 2007
Organization subpart: No

Authorized official

Name: Clifford R Vogan, MD NPI 1770599516
Title: Physician
Phone: (724) 548-7909

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Clifford Raymond Vogan, MD Internal Medicine Physician · Kittanning, PA · NPI 1770599516

Medicare reassignment NPD Authorized official INTERNAL MEDICINE · PA
Terry Allen Knepshield, PAC Medical Physician Assistant · Cowansville, PA · NPI 1205894144

Medicare reassignment PA

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
39D0935328	Clifford R Vogan MD PC 882 East Brady Street, Cowansville, PA 16218	Certificate of waiver	Oct 8, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20071207000450	PA	Part B Supplier - Clinic/Group Practice	8426147851	Receives reassigned benefits from 2 practitioners Practice locations: Cowansville, PA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X	MD021896E	PA	Yes

Addresses

Primary practice location

882 E Brady Rd
Cowansville, PA 16218-1316

Mailing address

882 E Brady Rd
Cowansville, PA 16218-1316

Other providers in Cowansville, PA

All providers in Cowansville, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.