SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1336450907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336450907 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
4868 Lake Michigan Dr Allendale MI 49401-8434 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163912800 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | PAULINE KRYWANSKI (CFO) |
| Authorized Official Telephone | 6164862253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
4868 LAKE MICHIGAN DR |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-8434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274408 | Michelle Gianturco | Family Medicine | 4868 Lake Michigan Dr, # 2, Allendale, MI 49401-8434 | 2005-06-09 |
| 1932602885 | Craig Allen Vissers | Physical Therapist | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2018-03-16 |
| 1871096180 | Robin Mae Dertien | Physical Therapist | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2018-03-13 |
| 1629380647 | Spectrum Health Primary Care Partners | Radiology | 4868 Lake Michigan Dr, Suite B, Allendale, MI 49401-8434 | 2010-07-07 |
| 1942521091 | Kevin J Kross | Dentist | 4868 Lake Michigan Dr, Suite A, Allendale, MI 49401-8434 | 2010-06-11 |
| 1417279027 | American Hearing Centers, LLC | Audiologist-Hearing Aid Fitter | 4868 Lake Michigan Dr, Ste A, Allendale, MI 49401-9577 | 2010-02-23 |
| 1508968090 | Frederick Hoekzema Jr. | Dentist | 4868 Lake Michigan Dr, Suite A, Allendale, MI 49401-8434 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1164529491 | Allendale County Hospital Board | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-09-20 |
| 1821043613 | John Thore Duhn | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2006-05-23 |
| 1386633675 | Allendale Family Practice | Family Medicine | 11315 Edgewater Dr, Allendale, MI 49401-9396 | 2005-10-19 |
| 1649274408 | Michelle Gianturco | Family Medicine | 4868 Lake Michigan Dr, # 2, Allendale, MI 49401-8434 | 2005-06-09 |
| 1326695867 | Rachel Anne Burgess | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2019-08-20 |
| 1225524275 | Ohio Valley Physicians Inc | Family Medicine | 571 Memorial Ave N, Allendale, SC 29810-2713 | 2018-07-02 |
| 1154761237 | Katherine Ann Van Drunen | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2013-07-03 |
| 1215013024 | Thomas Baker Warren | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-10-27 |
| 1114953304 | Stephen M Prefontaine | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2006-06-23 |
| Find all providers in ALLENDALE | ||||
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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.