SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1558661157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558661157 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
183 Peace Blvd Saint Joseph MI 49085-9146 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163919814 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | 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 | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic 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 |
183 PEACE BLVD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763351 | Bethany Lynn Hoffman | Physical Therapist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2005-07-14 |
| 1245710417 | Emma K Fishnick | Physician Assistant | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2018-08-17 |
| 1396120242 | Lori Bliven | Physical Therapist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2015-07-21 |
| 1174833560 | Rebecca Walter | Nurse Practitioner | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2010-10-19 |
| 1376732016 | Justin Tyler Sybesma | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2007-10-18 |
| 1477756062 | Joseph Adam Farber | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2007-06-09 |
| 1760541858 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 183 Peace Blvd, Suite A, Saint Joseph, MI 49085-9146 | 2006-12-06 |
| 1104913094 | Southwest Michigan Center for Orthopaedic and Sports Medicine P | Specialist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-10-10 |
| 1013955020 | Brian Larry Kim Arny | Physical Therapist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-06-02 |
| 1710966254 | Daniel G. Sohn | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972880920 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9159 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689962342 | Christopher Minnock | Orthopaedic Surgery | 350 W Big Beaver Rd Dept Of, Troy, MI 48084-5246 | 2011-07-15 |
| 1285854315 | Lanny Leo Johnson | Orthopaedic Surgery | 4658 Chippewa Dr, Okemos, MI 48864-2060 | 2007-04-30 |
| 1215416961 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 802 W King St, Owosso, MI 48867-2100 | 2018-08-13 |
| 1578839338 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2012-03-27 |
| 1396024683 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 35 Michigan Ne, Grand Rapids, MI 49503 | 2011-08-04 |
| 1477853075 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 550 Munson Ave, Traverse City, MI 49686-3580 | 2010-10-28 |
| 1760792808 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 1425 Michigan St Ne, Grand Rapids, MI 49503-2027 | 2010-10-07 |
| 1366608986 | Philip Daniel Nowicki | Orthopaedic Surgery | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2008-08-04 |
| 1962611277 | Lisa Dawn Maskill | Orthopaedic Surgery | 35 Michigan St Ne, Ste. 4150, Grand Rapids, MI 49503-2514 | 2007-05-22 |
| 1720200140 | Orthopedic Specialists of Oakland County, P.C. | Orthopaedic Surgery | 44555 Woodward, Suite 105, Pontiac, MI 48348 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.