Active NPI
Roger Vogelfanger
- Psychiatry Physician
- Memphis, TN
National Provider Identifier
1922215953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD8231
- Legal business name
- ROGER VOGELFANGER
- Practice address
- 6005 Park Ave
Suite 630B
Memphis, TN 38119-5202 - Phone
- (901) 767-1136
- Fax
- (901) 767-0476
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger Vogelfanger, M.D.
- Title
- Owner
- Phone
- (901) 767-1136
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW4235 | TN | |
| Clinical Social Worker | 1041C0700X | LSW965 | TN | |
| Psychiatry Physician | 2084P0800X | MD8231 | TN | Primary |
| Psychiatry Physician | 2084P0800X | MD39794 | TN | |
| Psychiatry Physician | 2084P0800X | MD40113 | TN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD8231 | TN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD39794 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN7497 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN7497 | TN |
Addresses
Primary practice location
6005 Park Ave
Suite 630B
Memphis, TN 38119-5202
Mailing address
6005 Park Ave
Suite 630B
Memphis, TN 38119-5202
Phone (901) 767-1136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3724233 | Medicaid | TN | |
| 3925579 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
6005 Park Ave
Ste 630B
Memphis, TN 38119
Phone (901) 767-1136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193443200000",
"number": "1922215953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 PARK AVE",
"address_2": "SUITE 630B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195202",
"telephone_number": "901-767-1136",
"fax_number": "901-767-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVE",
"address_2": "SUITE 630B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195202",
"telephone_number": "901-767-1136",
"fax_number": "901-767-0476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER VOGELFANGER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2007-10-27",
"status": "A",
"authorized_official_last_name": "VOGELFANGER",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-767-1136",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW4235",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW965",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD8231",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD39794",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD40113",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "MD8231",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "MD39794",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN7497",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN7497",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3724233",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3925579",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.