Healthcare Provider Details

I. General information

NPI: 1265490015
Provider Name (Legal Business Name): THOMAS A VOGEL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9865 E 116TH ST STE 300
FISHERS IN
46037-9237
US

IV. Provider business mailing address

9865 E 116TH ST STE 300
FISHERS IN
46037-9237
US

V. Phone/Fax

Practice location:
  • Phone: 317-284-8888
  • Fax: 317-284-8891
Mailing address:
  • Phone: 317-284-8888
  • Fax: 317-284-8891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000619A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: