Provider Demographics
NPI:1740332352
Name:VOGT, JAMES BARTON JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BARTON
Last Name:VOGT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:BARTON
Other - Last Name:VOGT
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:10250 N 92ND ST STE 308
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4520
Mailing Address - Country:US
Mailing Address - Phone:602-878-1783
Mailing Address - Fax:602-878-1784
Practice Address - Street 1:10250 N 92ND ST STE 308
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4520
Practice Address - Country:US
Practice Address - Phone:602-878-1783
Practice Address - Fax:602-878-1784
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ77085Medicare PIN
F90134Medicare UPIN