DR. KENNETH J FAWCETT JR. MD
NPI 1972507788
Internal Medicine in Grand Rapids, MI

Q: What is Kenneth Fawcett's NPI number?

The NPI number for Kenneth Fawcett is 1972507788. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Kenneth Fawcett's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Fawcett was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2005

3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525(616) 391-7800(616) 391-7838 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth J Fawcett Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH J FAWCETT JR. MD (NPI 1972507788) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301054239) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1972507788

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KENNETH J FAWCETT JR.Credential: MD

Location Address3271 CLEAR VISTA CT NEGrand Rapids, MI 49525-9477

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 391-7800 · Fax (616) 391-7838

Phone(616) 391-7800

Fax(616) 391-7838

Sole ProprietorNo

Enumeration DateJune 9, 2005

Last NPPES UpdateAugust 28, 2014

✔ NPI 1972507788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301054239

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301054239 (MI)

3271 CLEAR VISTA CT NE, Grand Rapids, MI 49525

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Other Identifiers 3

Medicaid4199704MI

Medicare UPINF54715

Other0N10270003MI · Medicare Group

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN E. HESLIP M.D.

Internal Medicine

3271 CLEAR VISTA CT NE, SUMMIT PARK CENTER-INTERNAL MED & PEDS
GRAND RAPIDS, MI 49525

Kent County (616) 391-7800

DR. COURTNEY COTTER DO

Allergy & Immunology