Individual provider Active NPI

Jordan Vogt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1770004202
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
244037 Issued in KY
Practice address
3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726
Phone
(502) 496-4914
Fax
(502) 459-7509
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001436A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 244037 KY Primary

Addresses

Primary practice location

3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726

Mailing address

3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726
Phone (502) 496-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511002335 KY Practitioner - Podiatry 5092124651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001436AINMDFoot & Ankle Surgery Podiatrist
244037KYMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1770004202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMANS LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074726",
            "telephone_number": "502-496-4914",
            "fax_number": "502-459-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMANS LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074726",
            "telephone_number": "502-496-4914",
            "fax_number": "502-459-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "JORDAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001436A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "244037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.