Cory Fawcett, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD18198 Issued in OR

Practice address

1600 NW 6TH St
North Suite
Grants Pass, OR 97526-1094

Phone

(541) 474-5533

Fax

(541) 476-2380

NPI assigned

May 31, 2005

Last updated

Feb 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Family Practice LLC

  dba NorthWest Family Practice (NWFP)

  • Family Medicine Physician
  • Grants Pass, OR
  • NPI 1891347415
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1467455774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH ST",
            "address_2": "NORTH SUITE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261094",
            "telephone_number": "541-474-5533",
            "fax_number": "541-476-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH ST",
            "address_2": "NORTH SUITE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261094",
            "telephone_number": "541-474-5533",
            "fax_number": "541-476-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD18198",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G68483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057047",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Falcone, NP
• Family Friends
• Family Solutions
• Rebecca Farmer
• Jessica Farris
• Daniel R Fear, MD
• Alison E Feenstra, BA
• Brittani Feetham, LMT
• Mandi Rachelle Feetham, LMT
• Heather Ferber

• Surgery Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.