Individual provider Active NPI

Clifford Raymond Vogan, MD

  • Internal Medicine Physician
  • Kittanning, PA
National Provider Identifier
1770599516
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021896E Issued in PA
Practice address
1 Nolte Dr
Armstrong County Memorial Hospital
Kittanning, PA 16201-7111
Phone
(724) 543-8109
Fax
(724) 543-8809
NPI assigned
Aug 1, 2006
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD021896E PA
Internal Medicine Physician 207R00000X MD021896E PA Primary

Addresses

Primary practice location

1 Nolte Dr
Armstrong County Memorial Hospital
Kittanning, PA 16201-7111

Mailing address

882 E Brady Rd
Cowansville Area Health Center
Cowansville, PA 16218-1316
Phone (724) 548-5605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000315 PA Practitioner - Internal Medicine 4981799285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

882 E Brady Rd
Cowansville, PA 16218-1316
Phone (724) 548-7909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD021896EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford Vogan, M.D., P.C. Current Accepting new patients
Clifford Vogan MD PC Internal Medicine CurrentSince Sep 20, 2007 Accepting new patients
Armstrong County Council on Alcohol and Other Drugs, Inc Internal Medicine Past Accepting new patients
Emergency Medicine Associates PC Emergency Medicine Past Accepting new patients
Quality Life Services - Sugar Creek, LLC Past Accepting new patients

Locations

882 State Route 268
Cowansville, PA 16218
Phone (724) 548-5605

Organizations & group practices 5

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1770599516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 E BRADY RD",
            "address_2": "COWANSVILLE AREA HEALTH CENTER",
            "city": "COWANSVILLE",
            "state": "PA",
            "postal_code": "162181316",
            "telephone_number": "724-548-5605",
            "fax_number": "724-543-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "ARMSTRONG COUNTY MEMORIAL HOSPITAL",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8109",
            "fax_number": "724-543-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGAN",
        "first_name": "CLIFFORD",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD021896E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021896E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.