National Provider Identifier
Rodrigo T. Samodal, MD
Rodrigo T. Samodal, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Horseheads, NY and a listed phone number of (607) 795-2880.
Profile Overview
- NPI
- 1710951249
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- February 13, 2006
- Last Updated
- August 05, 2024
Practice Location
- 100 John Roemmelt Dr Ste 200
- Horseheads, NY 14845-8303
Phone: (607) 795-2880
Mailing Address
- 2000 Perimeter Park Dr Ste 200
- Morrisville, NC 27560-8442
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Endpoints
- rodrigo.samodal@Direct.Lourdes.com
Direct Messaging Address | Direct | Other | Vestal, NY 13850
Lourdes Hospital
- rsamodal320749@direct.UNC.nchie.net
Direct Messaging Address | Direct | Other | Clayton, NC 27520
Full Record
- NPI
- 1710951249
- Entity Type
- Individual
- Last Name
- Samodal
- First Name
- Rodrigo
- Middle Name
- T.
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 2000 Perimeter Park Dr Ste 200
- Mailing City
- Morrisville
- Mailing State
- NC
- Mailing ZIP Code
- 27560-8442
- Mailing Country
- US
- Practice Street Address
- 100 John Roemmelt Dr Ste 200
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8303
- Practice Country
- US
- Practice Phone
- (607) 795-2880
- Practice Fax
- (607) 873-1824
- Enumeration Date
- February 13, 2006
- Last Updated
- August 05, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 02581473 (NY), 1011007100001 (PA), P00179402 (NY, Rr Medicare Pin), GU039851 (PA, PA Medicare Group), CC8362 (NY, Rr Medicare Group), P00405510 (PA, Rr Medicare Pin), CC9269 (PA, Rr Medicare Group)