MADISON SANDRA LEE PA-C NPI 1942984109

NPI Information

  • NPI: 1942984109
  • Provider Name: MADISON SANDRA LEE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 468 CADIEUX RD
    GROSSE POINTE, MI
    ZIP 48230
  • Phone: (313) 473-6899

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NPI Details

Madison Sandra Lee, PA-C is a physician assistant in Grosse Pointe, MI with 2 years of experience. The provider is 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. Madison Sandra Lee, PA-C NPI is 1942984109. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

468 CADIEUX RD
GROSSE POINTE, MI
ZIP 48230-507
Phone: (313) 473-6899

The NPI 1942984109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2023 and was last updated on 9/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine5601011705MICHIGANNo
2208D00000XGeneral Practice5601011705MICHIGANNo
3363A00000XPhysician Assistant5601011705MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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