Active NPI
Kevin Jon Lawson MD PC
- Specialist
- Sault Sainte Marie, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301079319
- Legal business name
- KEVIN JON LAWSON MD PC
- Practice address
- 309 W 12TH Ave
Suite 102
Sault Sainte Marie, MI 49783-2886 - Phone
- (906) 253-1300
- Fax
- (906) 253-1333
- NPI assigned
- Oct 17, 2006
- Last updated
- Apr 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Jon Lawson, MD
- Title
- Doctor/Owner
- Phone
- (906) 253-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301079319 | MI | Primary |
Addresses
Primary practice location
309 W 12TH Ave
Suite 102
Sault Sainte Marie, MI 49783-2886
Mailing address
309 W 12TH Ave
Suite 102
Sault Sainte Marie, MI 49783-2886
Phone (906) 253-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4550830 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
2147 Professional Dr
Gaylord, MI 49735
Phone (989) 732-1400
1100 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-5461
900 Cooper Ave
#900
Saginaw, MI 48602
Phone (989) 583-7051
309 W 12th Ave
Ste 102
Sault South Marie, MI 49783
Phone (906) 253-1300
550 Osborn Blvd
Ste 2602
Sault South Marie, MI 49783
Phone (906) 253-1039
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Sault Sainte Marie, MI
- NPI 1831261833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303257600000",
"number": "1144300724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W 12TH AVE",
"address_2": "SUITE 102",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497832886",
"telephone_number": "906-253-1300",
"fax_number": "906-253-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W 12TH AVE",
"address_2": "SUITE 102",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497832886",
"telephone_number": "906-253-1300",
"fax_number": "906-253-1333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN JON LAWSON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2011-04-20",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "906-253-1300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301079319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4550830",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.