Individual provider Active NPI

Gail Duane Vegter, PA-C

  • Physician Assistant
  • Cherokee, IA
National Provider Identifier
1952470130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001686 Issued in IA
Practice address
1251 W Cedar Loop
Cherokee, IA 51012-1572
Phone
(712) 225-6918
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 001686 IA Primary

Addresses

Primary practice location

1251 W Cedar Loop
Cherokee, IA 51012-1572

Mailing address

1825 530TH St Lot 45
Cherokee, IA 51012-7260
Phone (906) 282-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952470130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 530TH ST LOT 45",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510127260",
            "telephone_number": "906-282-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W CEDAR LOOP",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121572",
            "telephone_number": "712-225-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGTER",
        "first_name": "GAIL",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, IA

Sources for this page

Verify at the official NPI Registry.