Individual provider Active NPI

Samantha Lynn Vogel, PA-S

  • Physician Assistant
  • Orem, UT
National Provider Identifier
1700513520
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9150731-1206 Issued in UT
Practice address
1730 S 750 E
Orem, UT 84097-8079
Phone
(801) 448-2050
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9150731-1206 UT Primary

Addresses

Primary practice location

1730 S 750 E
Orem, UT 84097-8079

Mailing address

1730 S 750 E
Orem, UT 84097-8079
Phone (801) 448-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20231013001027 UT Practitioner - Physician Assistant 1456706209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9150731-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC CurrentSince Aug 30, 2023 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Aug 30, 2023 Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

667 E 500 N
Ste 200
Vineyard, UT 84059
Phone (801) 669-5758

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1700513520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S 750 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978079",
            "telephone_number": "801-448-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S 750 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978079",
            "telephone_number": "801-448-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9150731-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.