SPECTRUM HEALTH HOSPITALS (NPI# 1275529562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275529562 |
Entity Type | Organization |
Organization Name | SPECTRUM HEALTH HOSPITALS |
Other Organization Name | SPECTRUM HEALTH SURGICAL CENTER - SOUTH PAVILION |
Practice Address |
80 68th St Se Grand Rapids MI 49548-6980 |
Mailing Address |
100 Michigan St Ne Mc 406 Grand Rapids MI 49503-2560 |
Practice Telephone | 6163918260 |
Mailing Telephone | 6163911774 |
Mailing Fax Number | 6167747699 |
Enumeration Date | 2005-09-22 |
Last Update Date | 2015-12-03 |
Authorized Official Name | MR. DOUGLAS D WELDAY (VP FINANCE) |
Authorized Official Telephone | 6163912525 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
416822 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 5170225 | 05 | |
MI | BLUE CROSS | 40072 | 01 |
Other Name | Type Code |
---|---|
Spectrum Health Surgical Center - South Pavilion | Doing Business As Name - Organization |
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 |
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 |
1609491000 | Spectrum Health Hospitals | Audiologist-Hearing Aid Fitter | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-06-11 |
Street Address |
80 68TH ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49548-6980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033746565 | Samantha Nicole Lubbers | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-03-25 |
1912531054 | Christof Charles Muller | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-27 |
1477185718 | Austin James Redick | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-05 |
1770114266 | George Michael Mcconnell | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-03 |
1245861251 | Holly Elizabeth Mullen | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-01-29 |
1417596008 | Jennifer Nicole Lehman | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-12-30 |
1538705660 | Mavjuda Saydazamova | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-11-25 |
1396398236 | Marlee Jayne Bogema | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-07-19 |
1013472695 | Micah Nahum Foster | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-02-07 |
1912470493 | Callie Marie Radford | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-01-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
Find all providers in zip 49548 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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 |
1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
1720530405 | Grand Rapids Surgical Suites, Pllc | Clinic/Center | 2505 E Paris Ave Se, Suite 105, Grand Rapids, MI 49546-2459 | 2016-10-28 |
1134363690 | Oam Surgery Center At Midtowne, LLC | Clinic/Center | 555 Midtowne St Ne, Suite 200, Grand Rapids, MI 49503-5729 | 2009-04-28 |
1184815417 | Grand Rapids Plastic Surgery Plc | Clinic/Center | 426 Michigan St, Ste 300, Grand Rapids, MI 49503-5609 | 2007-08-01 |
1548332976 | Plastic Surgery Associates PC | Clinic/Center | 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 | 2006-11-14 |
1265487474 | Horseshoe Surgery Center, LLC | Clinic/Center | 1542 Golf Course Rd, Suite 105, Grand Rapids, MN 55744-9603 | 2006-05-24 |
1194798959 | East Paris Surgical Center, LLC | Clinic/Center | 1000 E Paris Ave Se, Suite Ll01, Grand Rapids, MI 49546-3680 | 2006-02-10 |
1255327540 | Spectrum Health Hospitals | Clinic/Center | 1000 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-3691 | 2005-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
1134685415 | Southfield Surgery Center LLC | Clinic/Center | 26225 Greenfield Road, Southfield, MI 48076-4704 | 2019-02-12 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49548 |
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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.