Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 26130 | NE |
N | 208600000X | Surgeon | 26130 | NE |
N | 208200000X | Surgeon | 35087704 | OH |
N | 208600000X | Surgeon | 35087704 | OH |
N | 208200000X | Surgeon | 39451 | IA |
N | 208600000X | Surgeon | 39451 | IA |
Y | 2086S0129X | Vascular Surgeon | 26130 | NE |
N | 2086S0129X | Vascular Surgeon | 39451 | IA |
NPI | 1033159850 |
---|---|
Provider Name | David L Vogel |
First Address | Omaha, NE 68131-2806 |
Second Address | Omaha, NE 68131-2806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 15/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10024981100 | (05) | NE |
1033159850 | (05) | IA |
2670220 | (05) | OH |
P00409945 | RAILROAD MEDICARE PIN (01) | OH |