SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1487966412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487966412 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
145 Michigan St Ne Grand Rapids MI 49503-2562 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164866333 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2012-03-06 |
| 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 |
|---|---|---|---|---|---|
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | 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 |
145 MICHIGAN ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290491 | Alan D Campbell | Internal Medicine | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2005-07-26 |
| 1861994642 | Amy Dawn Colthorp | Occupational Therapist | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2018-03-07 |
| 1073031464 | Jenna Anne Towns | Physician Assistant | 145 Michigan St Ne, Grand Rapids, MI 49503 | 2017-09-06 |
| 1629516661 | Jamie Albert | Nurse Practitioner | 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503-2562 | 2017-02-10 |
| 1255888905 | Laura Supplee | Genetic Counselor, MS | 145 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2562 | 2016-09-09 |
| 1538616297 | Melissa Zuteck | Genetic Counselor, MS | 145 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2562 | 2016-09-09 |
| 1124573134 | Daniel Lajoie | Nurse Practitioner | 145 Michigan St Ne, Suite 3410, Grand Rapids, MI 49503-2562 | 2016-08-19 |
| 1306390950 | Randa Preihs | Nurse Practitioner | 145 Michigan St Ne, Suite 5500, Grand Rapids, MI 49503-2562 | 2016-08-12 |
| 1881047652 | Nicole Harpold | Nurse Practitioner | 145 Michigan St Ne, Suite 3410, Grand Rapids, MI 49503-2562 | 2016-07-18 |
| 1205287547 | Heather E Levanduski | Social Worker | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2016-06-28 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938084 | Jenna Corinne Coon Fussell | Surgery | 221 Michign St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-07-17 |
| 1821518135 | Amanda Marsh | Surgery | 221 Michigan Suite 200-a, Grand Rapids, MI 49503 | 2017-06-27 |
| 1346760923 | Kristin Wempe | Surgery | 221 Michigan St Ne # 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1508386186 | Justin Hsu | Surgery | 221 Michigan St Ne Ste 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1184006124 | Joshua Ryan Smith | Surgery | 1900 Wealthy St Se Ste 180, Grand Rapids, MI 49506-2972 | 2015-06-26 |
| 1093061905 | James Regan | Surgery | 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2012-07-29 |
| 1346503455 | Matthew Brent Dull | Surgery | 221 Michigan St Ne Ste 200a, Grand Rapids, MI 49503-2543 | 2012-06-22 |
| 1376870550 | Jerome J Wisneski | Surgery | 2338 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5969 | 2009-11-10 |
| 1104151695 | Richard Earl Dean | Surgery | 3735 Cook Valley Blvd Se, Grand Rapids, MI 49546 | 2009-10-16 |
| 1083877120 | Patricia Anne Pentiak | Surgery | 221 Michign St Ne Ste 400, Grand Rapids, MI 49503-2538 | 2008-07-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on SPECTRUM HEALTH PRIMARY CARE PARTNERS.
| 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.