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

Joseph M Fawcett, PA, MHSA, ATC

Individual provider Athletic Trainer · NPI 1124405717

Joseph M Fawcett, PA, MHSA, ATC is a Physician Assistant in Bellefontaine, Ohio. Qualified in 2019, 7 years ago. Practices with Mary Rutan Hospital, a 89-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
7
Licensed in
MI, OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017
Phone: (937) 651-6441
Fax: (937) 651-6442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006182RX (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601001048 (MI)

Record details

NPI number1124405717
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , MHSA , ATC
Sole proprietorNo
NPI enumeratedMay 3, 2015
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mary Rutan Hospital — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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