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

Individual provider Obstetrics & Gynecology Physician · NPI 1417947474

Lee D Koon, MD is an Obstetrics/Gynecology in Glendale, Arizona. Graduated from University of Tennessee, Hsc, College of Medicine in 1997, 29 years ago. Practices with Genesis OB GYN PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone: (602) 678-1500
Fax: (602) 978-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 33194 (AZ)

Record details

NPI number1417947474
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address6678 W Thunderbird Rd, Glendale, AZ 85306-3721

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Genesis Ob Gyn Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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