Randal R Podoll, P.A..C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001281 Issued in MI

Practice address

143 South Main Street
Hillsdale, MI 49274

Phone

(517) 283-1772

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hillsdale Community Health Center

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Medicare reassignment NPD
• Hillsdale Emergency Group PC

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1831418516
  NPD (past)
• Hillsdale Emergency Management Company LLC

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1831351378
  NPD (past)
• Horizon Emergency Physicians, P. C.

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1952473688

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1851468409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SOUTH MAIN STREET",
            "city": "READING",
            "state": "MI",
            "postal_code": "49274",
            "telephone_number": "517-283-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SOUTH MAIN STREET",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49274",
            "telephone_number": "517-283-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOLL",
        "first_name": "RANDAL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "P.A..C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratik D Patel, RPH
• Peaceful Path Lactation LLC
• Kennedy Penney
• Kathleen A Petersen
• Reanna Pickerign, NP
• Christina Pongracic, MA, LLPC
• Ryan Thomas Porter, LMSW
• Debora Prati-Longoria, LCSW
• Glenda Rae Prus, RN
• Radiology of South Central Michigan, PC

• Physician Assistant in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.