MR. MICHAEL SHANE VOGEL


Address: 2480 Bon Hommes Richard Street, Jacksonville, FL 32227
Phone: 8035790540

MR. MICHAEL SHANE VOGEL (NPI# 1184057077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184057077
Entity Type Individual
Full Name MR. MICHAEL SHANE VOGEL
Credential IDC
Practice Address 2480 Bon Hommes Richard Street
Jacksonville
FL 32227
Mailing Address 651 Hollis Lakes Rd
Rock Hill
SC 29732-9316
Practice Telephone 8035790540
Mailing Telephone 8034878004
Enumeration Date 2013-08-14
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
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Office Location

Street Address 2480 BON HOMMES RICHARD STREET
City JACKSONVILLE
State FL
Zip Code 32227

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598001257 Wayne Partin Military Health Care Provider 2480 Bon Hommes Richard St, Jacksonville, FL 32227 2012-12-27
1639440282 Alexander Christian Erickson Military Health Care Provider Uss Sioux City (lcs 11) (gold), 2480 Bon Hommes Richard Street, Jacksonville, FL 32227 2012-01-13
1235370404 Wendy Ann Wasson Pharmacy Technician 2104 Massey Ave, Naval Station Mayport, Mayport, FL 32227 2009-03-17
1972910867 Joshua D Drew Military Health Care Provider 975b Eldorado St, Jacksonville, FL 32227-1121 2014-07-13
1659727444 Michael Phoenix Mcfarland Military Health Care Provider 898 Enterprise St Unit A, Jacksonville, FL 32227-1202 2016-05-11
1144874660 Misty Williams Marriage & Family Therapist 3730 Oregon City St, Jacksonville, FL 32227-1719 2019-08-01
1265705545 Marie Mangin Rush Psychologist 3816 Ohare St, Jacksonville, FL 32227-1822 2012-02-16

Providers in the same city

NPI Name Taxonomy Address Enumeration
1336740224 North Florida Collaborative Therapy Psychologist 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 2020-11-05
1477154680 C.n.e Health Care LLC In Home Supportive Care 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 2020-11-04
1972104198 Kristen Dragotta Physical Therapist 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 2020-11-04
1376144774 Jennifer Mcmanus Psychologist 4143 San Juan Ave, Jacksonville, FL 32210-3333 2020-11-03
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1063013647 Tia Patterson Nurse's Aide 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 2020-11-02
1669073128 Kandra Williams Pharmacist 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 2020-11-02
1104427632 Sunzup Counseling and Wellness Community/Behavioral Health 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 2020-11-02
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1902406598 Heidi Ellen Page Registered Nurse 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 2020-11-01
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639793748 Johnathon T Brewer Military Health Care Provider 100 White St, Jacksonville, NC 28540 2020-06-04
1740803725 Alanna Gonzalez Military Health Care Provider 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 2020-05-25
1538793849 Alberto Kris Cipollone Military Health Care Provider Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 2020-02-25
1376175794 James Ernest Claypool Military Health Care Provider 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 2020-02-05
1316584543 Christina Koch Military Health Care Provider 104 Eagle River Ct, Jacksonville, NC 28540-7745 2019-12-06
1174043244 Jason Waters Military Health Care Provider White St, Bldg As-100, Jacksonville, NC 28540 2017-06-21
1023546108 Gregory Donald Willden Military Health Care Provider Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 2017-06-01
1285179077 Bill Lee Todd Davis Military Health Care Provider 1151 Murrill Hill Rd, Jacksonville, NC 28540-8662 2017-01-03
1235681545 Huriel A Rivera Aponte Military Health Care Provider Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 2016-11-03
1659727444 Michael Phoenix Mcfarland Military Health Care Provider 898 Enterprise St Unit A, Jacksonville, FL 32227-1202 2016-05-11
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Competitor

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City JACKSONVILLE
Zip Code 32227

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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