Kenneth H Markiewicz DO PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

5101007662 Issued in MI

Legal business name

KENNETH H MARKIEWICZ DO PC

Practice address

2323 E Paris Ave SE
Grand Rapids, MI 49546-2414

Phone

(616) 285-3733

Fax

(616) 285-5960

NPI assigned

Jul 30, 2008

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth H Markiewicz, D.O.

Title

Owner

Phone

(616) 285-3733

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1376709337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462414",
            "telephone_number": "616-285-3733",
            "fax_number": "616-285-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462414",
            "telephone_number": "616-285-3733",
            "fax_number": "616-285-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H MARKIEWICZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "MARKIEWICZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-285-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101007662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1642877",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0454111024",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marshelia Kennedy, MD
• Tiana Samone Kennedy, LPC
• Benjamin Adam Kennert, LP, LBA
• Mackenzie Justine Kenneson, MD
• Kenneth Ford, LLC
• Kenneth W Post MD PLC
• Michael Hugh Kennett, MD
• Marian Therese Kenney
• Rebecca Kenney
• Sean J Kenny, PH.D.

• Otolaryngology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.