| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL JAY VOGT | 1700512746 | 2022-07-30 |
Michael Jay Vogt is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700512746. Registration indicates Michael Jay Vogt is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Michael Jay Vogt PA-C |
| Practice Office Address | 500 UNIVERSITY DR HERSHEY, PA US |
| Practice Office Telephone | 7175316822 |
| Practice Office Fax | 7175314907 |
| Mailing Address | 500 UNIVERSITY DR MC CA410 HERSHEY, PA 170332360 US |
| Business Telephone | 8002431455 |
| Business Fax | 7175310119 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 10433 S Redwood Rd | South Jordan, UT 840958502 | 8016099798 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 13035250-8906
UT |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | MA064832
PA |