Provider Demographics
NPI:1740394626
Name:VOGEL PODIATRIST, CARL F (DPM)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:F
Last Name:VOGEL PODIATRIST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CEDAR BLVD
Mailing Address - Street 2:STE 208
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1330
Mailing Address - Country:US
Mailing Address - Phone:412-531-9990
Mailing Address - Fax:412-531-2069
Practice Address - Street 1:20 CEDAR BLVD
Practice Address - Street 2:STE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1330
Practice Address - Country:US
Practice Address - Phone:412-531-9990
Practice Address - Fax:412-531-2069
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001400L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
048683Medicare ID - Type Unspecified
T27588Medicare UPIN