MEDICARE: TIMOTHY ALFRED VOGLER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	293	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1212660025	OTHER	NC	DME - ASHEBORO FOOT & ANK
3	121266024	OTHER	NC	DME - FAMILY FOOT & ANKLE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780638700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY ALFRED VOGLER DPM

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	336-277-6550
Fax Number	:	336-768-1026

Provider Business Practice Location Address
First Line	:	3641 WESTGATE CENTER CIR STE A
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-2936
Country	:	US
Telephone Number	:	336-277-6550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	10/28/2020

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