SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1437436268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437436268 |
Entity Type | Organization |
Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
Practice Address |
3351 Eagle Run Dr Ne Grand Rapids MI 49525-7070 |
Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6164542004 |
Practice Fax Number | 6164540061 |
Enumeration Date | 2011-11-08 |
Last Update Date | 2011-11-08 |
Authorized Official Name | POLLY (PAULINE) KRYWANSKI (SVP, FINANCE) |
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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
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 |
3351 EAGLE RUN DR NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49525-7070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932154192 | Derek Anthony Lado | Physical Medicine & Rehabilitation | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2006-05-24 |
1386998755 | Elite Spine and Musculoskeletal Center Pllc | Physical Medicine & Rehabilitation | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2012-11-06 |
1982975843 | Danielle N Boog | Occupational Therapist | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2012-01-24 |
1659662138 | Aaron James Wilson | Social Worker | 3351 Eagle Run Dr Ne, Ste C, Grand Rapids, MI 49525-7070 | 2011-05-02 |
1447557111 | Kelly J Fairchild | Social Worker | 3351 Eagle Run Dr Ne, Ste C, Grand Rapids, MI 49525-7070 | 2011-02-16 |
1386948586 | Micheline Martha Lockerd | Social Worker | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2011-01-03 |
1164756268 | Katharine Larsen Bennett | Psychologist | 3351 Eagle Run Dr Ne, Suite C, Grand Rapids, MI 49525-7070 | 2009-09-23 |
1861692782 | Bradley Taylor Bridges | Social Worker | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2007-07-19 |
1114148046 | Branden Lyon | Social Worker | 3351 Eagle Run Dr Ne, Suite C, Grand Rapids, MI 49525-7070 | 2007-05-01 |
1639218050 | Rene Louise Manker | Physical Therapist | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7053 | 2007-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
Find all providers in zip 49525 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
1124462437 | Veritas Integrated Psychiatric Care, Pllc | Psychiatry & Neurology | 3265 Walker Ave Nw, Suite D, Grand Rapids, MI 49544-9708 | 2013-04-18 |
1982835526 | Mon C Poulose | Psychiatry & Neurology | 3225 N Evergreen Drive Ne, Suite 301, Grand Rapids, MI 49525 | 2009-07-30 |
1972652972 | Radosveta Stoyanov | Psychiatry & Neurology | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2007-01-09 |
1679633994 | Philip C. Haines | Psychiatry & Neurology | 1011 Parchment Dr Se, Grand Rapids, MI 49546-3664 | 2006-12-08 |
1669546537 | Holly Ann Perkins | Psychiatry & Neurology | 2894 Thornapple River Dr Se, Grand Rapids, MI 49546-6857 | 2006-11-20 |
1801966122 | Theodore Fitch Mauger | Psychiatry & Neurology | 1325 Thornapple River Dr Se, Grand Rapids, MI 49546-9736 | 2006-11-08 |
1154407807 | Josharon Mutchler | Psychiatry & Neurology | 2035 28th St Se, Suite P, Grand Rapids, MI 49508 | 2006-10-27 |
1760581524 | Elmer William Fowler Jr. | Psychiatry & Neurology | 3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 | 2006-09-21 |
1578676797 | Haith Place Inc | Psychiatry & Neurology | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4806 | 2006-08-15 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49525 |
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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.