Individual provider Active NPI

Gordon A Vogel, MD

  • Internal Medicine Physician
  • Mount Vernon, IN
National Provider Identifier
1417984303
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01028250 Issued in IN
Practice address
1900 W 4TH St
Mount Vernon, IN 47620-9407
Phone
(812) 838-4891
Fax
(812) 838-6595
NPI assigned
Jun 27, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01028250 IN Primary

Addresses

Primary practice location

1900 W 4TH St
Mount Vernon, IN 47620-9407

Mailing address

PO Box 717
Mount Vernon, IN 47620-0717
Phone (812) 838-4891

Other identifiers 1

IdentifierTypeStateIssuer
100210130AMedicaidIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Hospital at Deaconess Gateway, LLC Internal Medicine Past Accepting new patients
The Heart Hospital at Deaconess Gateway, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1417984303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476200717",
            "telephone_number": "812-838-4891",
            "fax_number": "812-838-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209407",
            "telephone_number": "812-838-4891",
            "fax_number": "812-838-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "GORDON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01028250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.