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

Madison E. Eagle, PA-C

Individual provider Physician Assistant · NPI 1508552282

Madison E. Eagle, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2121 Kenny Rd
Columbus, OH 43210-3100
Phone: (614) 293-7399
Fax: (614) 293-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 Eastland Rd, Berea, OH 44017-2005 — (440) 826-8012

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008798RX (OH)

Record details

NPI number1508552282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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