Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

MS. Sydney Madison Street, PA-C

Individual provider Physician Assistant · NPI 1710636139

MS. Sydney Madison Street, PA-C is a Physician Assistant in Pontiac, Michigan. Qualified in 2022, 4 years ago. Practices with Iha Olma Specialty Services LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

44405 Woodard Ave Ste 202
Pontiac, MI 48341
Phone: (810) 342-3801
Fax: (810) 342-3856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011053 (MI)

Record details

NPI number1710636139
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Iha Olma Specialty Services Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Iha Olma Specialty Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 41 clinicians in the practice; 12 are shown here.

Other providers in Pontiac