Provider Demographics
NPI:1427191634
Name:RAINER S VOGEL MD LTD
Entity Type:Organization
Organization Name:RAINER S VOGEL MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAINER
Authorized Official - Middle Name:S
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-990-4530
Mailing Address - Street 1:10561 JEFFREYS ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4266
Mailing Address - Country:US
Mailing Address - Phone:702-990-4530
Mailing Address - Fax:702-990-4527
Practice Address - Street 1:10561 JEFFREYS ST
Practice Address - Street 2:SUITE 211
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4266
Practice Address - Country:US
Practice Address - Phone:702-990-4530
Practice Address - Fax:702-990-4527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11534208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506850Medicaid
11499591OtherCAQH NUMBER
1396727756OtherINDIVIDUAL NPI NUMBER
1396727756OtherINDIVIDUAL NPI NUMBER
NV5992530001Medicare NSC
NVV101348Medicare PIN
101349Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE