KIMBERLY SUE VOGT (NPI# 1598785875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598785875 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE VOGT |
| Credential | PA-C |
| Practice Address |
601 W 2nd St Bloomington IN 47403-2317 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8123539515 |
| Mailing Telephone | 8123353308 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000939 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 17th St, Columbus, IN 472015351 | 8123794441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467766030 | Kimberly Lauren Vogt | Behavioral Analyst | 115 Florence Ave, Denville, NJ 07834-1872 | 2010-08-05 |
| 1427168830 | Kimberly A Vogt | General Practice | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-08-30 |
| Street Address |
601 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707111 | Brenda Susan Mallory | Physical Medicine & Rehabilitation | 601 W 2nd St, Bloomington, IN 47403-2317 | 2005-06-01 |
| 1841899747 | Megan Morrison | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1598364499 | Stacey Wiseman | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1952900904 | Janet Lynn Deckard | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1255939484 | Cerina Marie Cunningham | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-10 |
| 1043821846 | Riddhi Gandhi | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-08-14 |
| 1417571068 | Colin Laffoon | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-29 |
| 1891318598 | Kendra Rae Foster | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-28 |
| 1548881360 | Lindsay Sanders | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-04 |
| 1639798119 | Mona Visnius | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1386292886 | Quinn Harmon | Physician Assistant | 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 | 2019-08-28 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1730619487 | Elise Nicole Lill | Physician Assistant | 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 | 2017-06-15 |
| 1528417557 | Kathryn Shalbrack | Physician Assistant | 4300 Marketpointe Dr, Bloomington, MN 55435-5423 | 2016-06-09 |
| 1740634203 | Alfonso Luna IIi | Physician Assistant | 657 S Lancewood Ave, Bloomington, CA 92316-1336 | 2016-04-20 |
| 1215308671 | Sara Ann Houk | Physician Assistant | 2200 E. Washington St, Bloomington, IL 61701-4323 | 2015-10-12 |
| 1760865133 | Patrick D Machacek | Physician Assistant | 10633 Vincent Ave S, Bloomington, MN 55431-3733 | 2015-07-03 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.