Individual provider Active NPI

William Vogel, PA-C

  • Physician Assistant
  • Cottage Grove, OR
National Provider Identifier
1932281656
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00462 Issued in OR
Practice address
1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone
(541) 640-7625
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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 PA00462 OR Primary

Addresses

Primary practice location

1445 Gateway Blvd
Cottage Grove, OR 97424-1224

Mailing address

1292 High St Ste 224
Eugene, OR 97401-3238
Phone (541) 500-2500

Other practice location 1

35859 Highway 58
Pleasant Hill, OR 97455-9651
Phone (541) 640-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141002002577 OR Practitioner - Physician Assistant 2062512239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
462ORMDClinical Psychologist
PA00462ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

1292 High St
Eugene, OR 97401
Phone (541) 636-3473

35859 Highway 58
Pleasant Hill, OR 97455
Phone (541) 767-5200

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1932281656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 HIGH ST STE 224",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013238",
            "telephone_number": "541-500-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 GATEWAY BLVD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241224",
            "telephone_number": "541-640-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35859 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "OR",
            "postal_code": "974559651",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.