Organization Active NPI

Kevin Jon Lawson MD PC

  • Specialist
  • Sault Sainte Marie, MI
National Provider Identifier
1144300724
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301079319 Issued in MI
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4550830MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.