Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Adam T Gomoll, PAC

Individual provider Physician Assistant · NPI 1598730715

Mr. Adam T Gomoll, PAC is a Physician Assistant in East Lansing, Michigan. Qualified in 2001, 25 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2601 Coolidge Rd Ste 200
East Lansing, MI 48823-6381
Phone: (517) 203-3000
Fax: (517) 203-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005313 (MI)

Record details

NPI number1598730715
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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