- Practice location
- 4115 Mannheim RD, Jasper, IN 47546-2964
- Phone
- 812-476-7111
- Fax
- 812-476-7117
- Last updated
- September 10, 2026
Madison Gogel is a Physician Assistant based in Jasper, IN. Madison Gogel practices in Jasper, IN and has the professional credentials of PA-C. The NPI Number for Madison Gogel is 1417611633 and holds a License No. PA3218 (KY). The current practice location address for Madison Gogel is 4115 Mannheim RD, Jasper, IN 47546-2964 and can be reached out via phone at 812-476-7111 and via fax at 812-476-7117.
Provider Profile Details
- NPI Number
- 1417611633
- Provider Name
- Madison Gogel
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4115 Mannheim RD, Jasper, IN 47546-2964
- Phone Number
- 812-476-7111
- Fax Number
- 812-476-7117
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 25, 2021
- Last Update Date
- September 10, 2026
- Certification Date
- September 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4115 Mannheim RD
Jasper, IN 47546-2964 - City
- Jasper
- State
- Indiana
- Zip
- 47546-2964
- Phone Number
- 812-476-7111
- Fax Number
- 812-476-7117
Provider Business Mailing Address Details
- Address
- Po Box 21890
Belfast, ME 04915-4115 - City
- Belfast
- State
- ME
- Zip
- 04915-4115
- Phone Number
- 502-907-0356
- Fax Number
- 502-919-9780
License Information
- License Number (1)
- PA3218
- License State (1)
- KY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 10003404A
- License State (2)
- IN
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Jasper, IN
View all Physician Assistants in Jasper →Frequently Asked Questions
What is the NPI number of Madison Gogel, PA-C?
The NPI number of Madison Gogel, PA-C is 1417611633. It was assigned on October 25, 2021 and is currently active in the NPPES registry.
What is the specialty of Madison Gogel, PA-C?
Madison Gogel, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in KY under license number PA3218.
Where does Madison Gogel, PA-C practice?
The practice location is 4115 Mannheim RD, Jasper, IN 47546-2964. The office can be reached at 812-476-7111 (phone) or 812-476-7117 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417611633 directly on the NPPES registry website.