Michael Scott Kennedy, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MK042735 Issued in MI

Practice address

5 N Atkinson Dr
Suite 200
Ludington, MI 49431-2918

Phone

(231) 843-2664

Fax

(231) 845-6873

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Grant Medical Center

  • Family Medicine Physician
  • Grant, MI
  • NPI 1437272689
  NPD (past)
• R. Joseph Grierson, D.O., PLC

  • Orthopaedic Surgery Physician
  • Ludington, MI
  • NPI 1366677783
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1669570511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N ATKINSON DR",
            "address_2": "SUITE 200",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312918",
            "telephone_number": "231-843-2664",
            "fax_number": "231-845-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "MK042735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kang Hoon Lee MD PC
• Jeanne Ann Kavanagh, OTR/L
• Arica Keeley
• Marc Elwin Keen, M.D.
• George John Kelen, M.D., F.A.C.C.
• Kenneth C. Hill, M. D., P. C.
• Kent Vision Centers Inc
• Kerry M. Simon, M.D., P.C.
• Rodney Lee Kilpatrick, D.O.
• King & Aloe PC

• Orthopaedic Surgery Physician in Ludington, MI
• Providers in Ludington, 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 Nov 5, 2015; 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.