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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043903453

Mackenzie Elizabeth Cooney is a Physician Assistant in Royal Oak, Michigan. Graduated from Philadelphia College of Osteopathic Medicine in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan and Pennsylvania.

Years since qualifying
3
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
MI, PA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-1994
Fax: (248) 898-0015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4170 City Ave, Philadelphia, PA 19131-1610 — (215) 871-6100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012201 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PA)

Record details

NPI number1043903453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2023
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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