Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mr. Maurice Eugene Fongers III, PA-C

Individual provider Physician Assistant · NPI 1790893014

Mr. Maurice Eugene Fongers III, PA-C is a Physician Assistant in Greenville, Michigan. Qualified in 1997, 29 years ago. Practices with Spectrum Health United, a 88-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

707 S Greenville West Dr
Greenville, MI 48838-3514
Phone: (616) 754-3001
Fax: (616) 754-3828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002820 (MI)

Record details

NPI number1790893014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2006
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Spectrum Health United — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Spectrum Health United

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 88 clinicians in the practice; 12 are shown here.

Other providers in Greenville