Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Austin Daniel Mackenzie, MD

Individual provider Emergency Medicine Physician · NPI 1407419591

Dr. Austin Daniel Mackenzie, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2018, 8 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 975-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301506905 (MI)

Record details

NPI number1407419591
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing addressPo Box 22067, Lansing, MI 48909-2067

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesANESTHESIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2018 (8 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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