SPECTRUM HEALTH HOSPITALS (NPI# 1154621605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154621605 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH HOSPITALS |
| Practice Address |
100 Michigan St Ne Grand Rapids MI 49503-2560 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163911774 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | JOSEPH FIFER (VP, HOSPITAL FINANCE) |
| Authorized Official Telephone | 6163912754 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1922440478 | Spectrum Health Hospitals | Preventive Medicine | 1208 W Oak St, Greenville, MI 48838-2155 | 2013-07-25 |
| 1164665709 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 2902 Bradford St. Ne, Grand Rapids, MI 49525-6427 | 2009-04-13 |
| 1114014594 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 4100 Lake Drive Se, Suite 100, Grand Rapids, MI 49546-8292 | 2006-10-06 |
| 1447358304 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 5378 Plainfield Ave Ne, Grand Rapids, MI 49525-1053 | 2006-09-21 |
| 1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| Street Address |
100 MICHIGAN ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001668 | Surender Rajasekaran | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2005-05-26 |
| 1710587415 | Mara S Brown | Registered Nurse | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-10-30 |
| 1033718044 | Anh Thi Mai Huynh | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-10-21 |
| 1427687201 | Kayla Renee Smith | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-04-03 |
| 1407487424 | Jessica B Doorn | Dietitian, Registered | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-29 |
| 1649810391 | Olivia Lauren Presnell | Physician Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-10 |
| 1316586381 | Keith Minbiole | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1427697499 | Alexander Linkner | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1619514593 | Louise Mcwhirter | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-10 |
| 1316584915 | Professional Treatment Solutions PC | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770987745 | Spectrum Health Primary Care Partners | Transplant Surgery | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2014-10-20 |
| 1760792311 | Asghar Khaghani | Transplant Surgery | 330 Barclay Ave Ne, Suite 200, Grand Rapids, MI 49503-2556 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413178 | Hirak Pahari | Transplant Surgery | 1350 W. Bethune St., Apt 807, Detroit, MI 48202 | 2016-09-01 |
| 1770518953 | Regents of The University of Michigan | Transplant Surgery | 8001 Challis Road, Brighton, MI 48116 | 2006-07-12 |
| 1770515041 | University Surgeons | Transplant Surgery | 4160 John R St., Suite 615, Detroit, MI 48201 | 2006-07-07 |
| 1447299797 | University Physician Group | Transplant Surgery | 4201 St. Antoine St., Detroit, MI 48201 | 2006-06-05 |
| 1265849848 | Kazuhiro Takahashi | Transplant Surgery | 2799 West Grand Boulevard, Detroit, MI 48202 | 2014-07-16 |
| 1962844472 | Mahmoud Abdel Rahim Tabbal | Transplant Surgery | 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | 2013-07-25 |
| 1821433913 | Shunji Nagai | Transplant Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-05-03 |
| 1114153079 | Vrishali P Patil | Transplant Surgery | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2009-06-05 |
| 1174757652 | Rajeev Sharma | Transplant Surgery | 3990 John R St, Detroit, MI 48201-2059 | 2009-05-12 |
| 1184889222 | Paul Chun Yung Tang | Transplant Surgery | 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2008-07-28 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on SPECTRUM HEALTH HOSPITALS.
| 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.