SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1396024683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396024683 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
35 Michigan Ne Grand Rapids MI 49503 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162672400 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | BRADLEY L SHER (DIRECTOR OF PAYER RELATIONS/REIMBUR) |
| Authorized Official Telephone | 6164866705 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
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 |
35 MICHIGAN NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629048699 | Deborah L Cloney | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
| 1780989947 | William R Breese | Physician Assistant | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2011-01-20 |
| 1780984773 | Allison Riekse Miller | Physician Assistant | 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 | 2010-10-25 |
| 1417989195 | Stacy Michelle Emmert | Physician Assistant | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-07-06 |
| 1720054737 | John N Schuen | Pediatrics | 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 | 2006-02-28 |
| 1114993474 | Jason Umfleet | Psychiatry & Neurology | 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 | 2006-02-27 |
| 1144296344 | Susan L Millard | Pediatrics | 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 | 2006-02-27 |
| 1316919798 | Jeffrey A Cassidy | Orthopaedic Surgery | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503-2027 | 2006-02-01 |
| 1689644650 | Harold A Conrad | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629048699 | Deborah L Cloney | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
| 1821288705 | Ismaeel Hashemi | Pediatrics | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2007-07-27 |
| 1689644650 | Harold A Conrad | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854685 | Digestive Care of Lansing Plc | Pediatrics | 503 Mall Ct # 145, Lansing, MI 48912-5200 | 2017-04-11 |
| 1215037569 | Janice B Heikenen | Pediatrics | 6287 Lagoon Lane, Box 439, Mohawk, MI 49950 | 2006-09-25 |
| 1881603975 | Vasundhara Tolia | Pediatrics | 4304 Copper Cliff, Bloomfield Hills, MI 48302-1922 | 2006-08-07 |
| 1538194055 | Safwan Malas | Pediatrics | 1200 E Michigan Ave Ste 410, Lansing, MI 48912-1850 | 2006-07-12 |
| 1841791217 | Ashley Joanne Ross | Pediatrics | 601 John St Ste M-351, Kalamazoo, MI 49007-5358 | 2018-02-21 |
| 1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
| 1497165153 | Salman S. Salman | Pediatrics | 3901 Beaubien, Detroit, MI 48201-2119 | 2014-05-04 |
| 1083959522 | Promedica Central Physicians LLC | Pediatrics | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 | 2012-12-11 |
| 1336405554 | Jennifer B Mitsuya | Pediatrics | 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 | 2012-04-02 |
| 1457665671 | Sanjay Kumar | Pediatrics | 22201 Moross Road, Suite 270, Pbii, Detroit, MI 48236 | 2010-07-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.