Provider Demographics
NPI:1922070549
Name:VOGINI, MICHAEL JAMES (DO)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:VOGINI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 JANCEY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1100
Mailing Address - Country:US
Mailing Address - Phone:412-661-4762
Mailing Address - Fax:412-661-8472
Practice Address - Street 1:1748 JANCEY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1100
Practice Address - Country:US
Practice Address - Phone:412-661-4762
Practice Address - Fax:412-661-8472
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005093-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231031OtherHEALTH AMERICA
PA231031OtherADVANTRA
PA0009928610001Medicaid
PA231031OtherHEALTH ASSURANCE
PA000000149285OtherUNISON / MED PLUS
PA0018175430002OtherDEPARTMENT OF WELFARE
PA231031OtherHEALTH AMERICA
PA078507Medicare PIN