MEDICARE: DR. MATTHEW FREDERICK VOGEL M.D.

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	207V00000X	Obstetrics & Gynecology Physician	0101048305	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00152477	OTHER	VA	RR MEDICARE

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	103644	OTHER	VA	ANTHEM BCBS

General Provider Information

NPI Number	:	1336180959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW FREDERICK VOGEL M.D.

Provider Business Mailing Address
First Line	:	7130 GLEN FOREST DR
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23226-3754
Country	:	US
Telephone Number	:	804-288-4084
Fax Number	:	804-282-8678

Provider Business Practice Location Address
First Line	:	102 DMV DR
Second Line	:
City	:	KILMARNOCK
State	:	VA
Zip	:	22482-3843
Country	:	US
Telephone Number	:	804-288-4084
Fax Number	:	804-559-2046

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/23/2018

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Directions to “ DR. MATTHEW FREDERICK VOGEL M.D.” Practice Location

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