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NPI Code Detail

MEDICARE: MICHAEL PODCASY PA-C

MEDICARE: MICHAEL PODCASY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA065817PA

General Provider Information

NPI Number : 1639029267
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PODCASY PA-C
Provider Business Mailing Address
First Line : 1321 WELLINGTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-4228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 51 N 39TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 215-662-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ MICHAEL PODCASY PA-C” Practice Location

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