SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1528370541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528370541 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
6105 Wilson Ave Sw Suite 202 Wyoming MI 49418-9714 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164865299 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |
| 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 | 207R00000X | Internal 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 |
6105 WILSON AVE SW SUITE 202 |
| City | WYOMING |
| State | MI |
| Zip Code | 49418-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052265 | David R. Heyboer | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 | 2005-06-09 |
| 1679076533 | Melissa L Mccormick | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-16 |
| 1982106670 | Amanda Rose Travis | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-08 |
| 1568964377 | Kathleen Sue Knopf Simpson | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-07 |
| 1730524398 | West Michigan Heart | Internal Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-05-08 |
| 1528300738 | Spectrum Health Hospitals | Emergency Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-03-26 |
| 1629310826 | Spectrum Health Primary Care Partners | Emergency Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-03-26 |
| 1205174604 | Matthew Brower | Physician Assistant | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2013-01-21 |
| 1891995536 | Laura M Franey | Internal Medicine | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2007-07-20 |
| 1306968763 | Ryan D Madder | Internal Medicine | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2007-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720425788 | David Martin Cameron | Internal Medicine | 6105 Wilson Ave Sw Ste 101, Wyoming, MI 49418-9714 | 2013-05-31 |
| 1497072243 | Ammar Zahid Hassan | Internal Medicine | 2093 Health Dr Sw Ste 302, Wyoming, MI 49519 | 2010-05-03 |
| 1720097231 | David C Tabor | Internal Medicine | 2093 Health Dr, Suite 201, Wyoming, MI 49519 | 2006-08-05 |
| 1164443578 | Tandy Champion | Internal Medicine | 4166 56th St Sw, Wyoming, MI 49418-9352 | 2006-07-21 |
| 1790749042 | Michael C Mccully | Internal Medicine | 2093 Health Drive Sw, Suite 302, Wyoming, MI 49519 | 2006-04-13 |
| 1487617684 | Fariba Modares | Internal Medicine | 389 Wyoming Ave, Wyoming, PA 18644-1821 | 2006-04-10 |
| 1275537011 | Thomas V Bilisko | Internal Medicine | 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 | 2005-06-09 |
| 1427052265 | David R. Heyboer | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 | 2005-06-09 |
| 1760484869 | Anita Irene Charochak | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2005-06-02 |
| 1972098614 | Jeffrey Ray Williams | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519 | 2018-06-26 |
| Find all providers in WYOMING | ||||
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.