SPECTRUM HEALTH PRIMARY CARE PARTNERS


Address: 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816
Phone: 6164642860

SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1013227156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013227156
Entity Type Organization
Organization Name SPECTRUM HEALTH PRIMARY CARE PARTNERS
Practice Address 4069 Lake Dr Se
Suite 315
Grand Rapids
MI 49546-8816
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 6164642860
Enumeration Date 2010-10-07
Last Update Date 2010-10-07
Authorized Official Name PAULINE KRYWANSKI (CFO)
Authorized Official Telephone 6164862253
Is Organization Subpart Y
Parent Organization Name SPECTRUM HEALTH PRIMARY CARE PARTNERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477154458 Spectrum Health Primary Care Partners Internal Medicine 749 Phillips St, South Haven, MI 49090-1842 2020-11-05
1740810563 Spectrum Health Primary Care Partners Family Medicine 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 2020-01-21
1811554090 Spectrum Health Primary Care Partners Assisted Living Facility 3391 Prairie St Sw, Grandville, MI 49418-1992 2019-05-23
1033774054 Spectrum Health Primary Care Partners Internal Medicine 1725 Port Sheldon St, Jenison, MI 49428-9002 2019-05-06
1033619135 Spectrum Health Primary Care Partners Physical Therapist 6201 68th St Se, Caledonia, MI 49316 2018-02-15
1457850802 Spectrum Health Primary Care Partners Physician Assistant 4075 32nd Ave, Hudsonville, MI 49426 2018-02-12
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1346698784 Spectrum Health Primary Care Partners Internal Medicine 2009 Holton Road, Muskegon, MI 49445 2016-05-26
1669854816 Spectrum Health Primary Care Partners Obstetrics & Gynecology 4249 Parkway Place Dr Sw, Grandville, MI 49418-2679 2015-06-24
1306224563 Spectrum Health Primary Care Partners Internal Medicine 1845 Holton Rd, Muskegon, MI 49445-1531 2015-05-08

Office Location

Street Address 4069 LAKE DR SE
SUITE 315
City GRAND RAPIDS
State MI
Zip Code 49546-8816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811983000 Spectrum Health Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Suite 210, Grand Rapids, MI 49546-8816 2005-09-22
1184070807 Danielle Wentworth Audiologist 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2016-05-12
1205253424 Elizabeth House Physician Assistant 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2014-03-26
1043655780 Spectrum Health Primary Care Partners Nutritionist 4069 Lake Dr Se, Ste. 315, Grand Rapids, MI 49546-8816 2013-05-08
1790025898 George Torao Sugiyama Surgery 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2013-02-26
1639442791 Debra Ann West Audiologist 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2012-02-20
1982976924 Ashley Lucas Physician Assistant 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2012-02-07
1861762122 Carley Therese Flegler Physician Assistant 4069 Lake Dr Se, Suite 313, Grand Rapids, MI 49546-8816 2012-01-04
1285944322 Spectrum Health Primary Care Partners Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Suite 314, Grand Rapids, MI 49546-8816 2010-10-07
1699084871 Spectrum Health Primary Care Partners Allergy & Immunology 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 2010-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689232134 Supersomnia LLC Durable Medical Equipment & Medical Supplies 6886 Cascade Rd Se Ste D, Grand Rapids, MI 49546-6879 2019-05-30
1649723263 Walgreen Co Durable Medical Equipment & Medical Supplies 555 Michigan St Ne Ste 100, Grand Rapids, MI 49503-5753 2016-08-01
1285050435 Grace Audrey Miller Durable Medical Equipment & Medical Supplies 2824 Thornapple River Dr Se, Grand Rapids, MI 49546-6844 2014-03-12
1962830794 Jerry Burgess Mulder Durable Medical Equipment & Medical Supplies 426 Michigan St Ne Ste 207, Grand Rapids, MI 49503-5608 2013-10-14
1447504337 Integrated Sales and Marketing Durable Medical Equipment & Medical Supplies 3721 Pine Park Ct Se, Grand Rapids, MI 49546-9129 2012-10-31
1265705198 Hanger Prosthetics & Orthotics Inc Durable Medical Equipment & Medical Supplies 230 Michigan St Ne Ste 200, Grand Rapids, MI 49503 2012-02-23
1912205030 Begin Healing, Inc Durable Medical Equipment & Medical Supplies 2300 Sw 11th St, Grand Rapids, MN 55744-9777 2011-03-14
1861796112 Woodward Detroit Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 3590 Plainfield Ave Ne, Grand Rapids, MI 49525-2719 2010-12-30
1811207350 Spectrum Health Primary Care Partners Durable Medical Equipment & Medical Supplies 4085 Burton Se, Suite 102, Grand Rapids, MI 49546 2010-10-18
1184940074 Hanger Prosthetics & Orthotics Inc Durable Medical Equipment & Medical Supplies 5005 Cascade Rd Se Ste C, Grand Rapids, MI 49546-8411 2010-04-16
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49546

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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