NPI 1073101192
Brandi Podboy
Physician Assistant · Tallmadge, OH
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 2:00 am EDT
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Brandi Podboy is a health care provider (Physician Assistant) in Tallmadge, Ohio with National Provider Identifier (NPI) 1073101192. The NPI was issued on Jan 5, 2021 and the registry record was last updated on Jun 15, 2022. The registry lists a license in Ohio.
Registry record
- NPI
- 1073101192
- Type
- Individual (NPI-1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice location
- 60 North Ave
Tallmadge, OH 44278-2011 - Phone
- (330) 630-9726
- NPI issued
- Jan 5, 2021
- Registry record updated
- Jun 15, 2022
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | Ohio | 50.007622RX |
Confirm license status and discipline with the state board (links in NPI Lookup).
Physician Assistant providers in Ohio
- Katherine Tate, PA-CDayton, OH
- Jennifer Harris, PA-CCleveland, OH
- Elizabeth C. Wagoner, PA-CFairfield Township, OH
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.