Paul S Kenyon, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

49140 Issued in MI

Legal business name

PAUL S KENYON, MD PC

Practice address

150 S East Ave
Jackson, MI 49201-2412

Phone

(517) 787-6924

Fax

(517) 787-8335

NPI assigned

Apr 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul S Kenyon, MD

Title

President

Phone

(517) 787-6924

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1235304320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040600",
            "telephone_number": "517-787-6924",
            "fax_number": "517-787-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012412",
            "telephone_number": "517-787-6924",
            "fax_number": "517-787-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S KENYON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-787-6924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "49140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0380337",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2572436",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia L. Rooney, D.O.
• Patricia L. Rooney, D.O.
• David A Patrick, DO
• Michael David Patrick, COTA
• Gregg Arthur Patten, MD
• Holly Jo Paul, NP
• Dalila Sharon Diane Payne
• Edwin Payne, LPC
• Kylie Payne
• Salina Payne

• Orthopaedic Surgery Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.