MADISON ALYSE KOON PA-C
NPI 1598486326
Physician Assistant in Lake Orion, MI

Q: What is Madison Koon's NPI number?

The NPI number for Madison Koon is 1598486326. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Q: What is Madison Koon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Koon was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2022

1428 S LAPEER RD, LAKE ORION, MI 48360(248) 693-0543 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2022, Sep 9, 2022 (2 updates tracked since 2022).

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About Madison Alyse Koon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON ALYSE KOON PA-C (NPI 1598486326) is an individual physician assistant in Lake Orion, Michigan, licensed in Michigan (5601011346) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1598486326

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON ALYSE KOONCredential: PA-C

Location Address1428 S LAPEER RDLake Orion, MI 48360-1437

Mailing Address1426 S Lapeer RdLake Orion, MI 48360 · (248) 693-0543 · Fax (248) 693-3683

Phone(248) 693-0543

Sole ProprietorYes

Enumeration DateSeptember 9, 2022

Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration

NPPES CertifiedDecember 15, 2022

✔ NPI 1598486326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011346

Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1428 S LAPEER RD, Lake Orion, MI 48360

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