Healthcare Provider Details

I. General information

NPI: 1679514020
Provider Name (Legal Business Name): KAREN SUSAN VOGT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN SUSAN PENKO M.D.

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 GREENBELT RD
GREENBELT MD
20770-3402
US

IV. Provider business mailing address

3219 HOLLYHOCK DR
BURTONSVILLE MD
20866-1767
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-5437
  • Fax: 301-982-5428
Mailing address:
  • Phone: 301-526-1310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0104393
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number35.079584
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: