Provider Demographics
NPI:1962689992
Name:MICHAEL J. VOGINI DO, INC.
Entity Type:Organization
Organization Name:MICHAEL J. VOGINI DO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:VOGINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-661-4762
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018175430002Medicaid
PA0018175430002Medicaid
PA078507Medicare PIN
PAB33941Medicare UPIN