Provider Demographics
NPI:1306278072
Name:VOGEL, THOMAS TIMOTHY (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:TIMOTHY
Last Name:VOGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S CASSINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2403
Mailing Address - Country:US
Mailing Address - Phone:614-236-5152
Mailing Address - Fax:
Practice Address - Street 1:621 S CASSINGHAM RD
Practice Address - Street 2:
Practice Address - City:BEXLEY
Practice Address - State:OH
Practice Address - Zip Code:43209-2403
Practice Address - Country:US
Practice Address - Phone:614-236-5152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.029078174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist