Individual provider · Type 1 NPI
Grace Elizabeth Poduch, PA-C
Physician Assistant · Bloomington, IN
Practice location
463 S Park Ridge Rd Ste 101
Bloomington, IN 47401-8589
Mailing address
750 N Woodbridge Dr
Bloomington, IN 47408-2778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 10005102A (IN) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1467329185
Grace Elizabeth Poduch, PA-C's National Provider Identifier is 1467329185, issued on Oct 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, IN. The record was last updated on Dec 3, 2025.