SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1649540642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649540642 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
588 E Lakewood Blvd Holland MI 49424-2023 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163959000 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | ADRIANNE BRYAN (DIRECTOR FINANCIAL PLANNING) |
| Authorized Official Telephone | 6166439123 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| 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 |
588 E LAKEWOOD BLVD |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103702 | Chad Alen Faber | Family Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2005-06-09 |
| 1417450941 | Barbara Lynn Mccormick | Physical Therapist | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2018-03-12 |
| 1497286447 | Michael Han Raymond | Family Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2017-03-22 |
| 1265978134 | Elise Marie Jones | Physician Assistant | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2017-01-16 |
| 1720434442 | Kyle Geda | Audiologist | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424-2023 | 2016-05-12 |
| 1669847703 | Erin Walton | Nurse Practitioner | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424 | 2015-12-01 |
| 1518398676 | Roberta Nicole Wall | Physician Assistant | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424-2023 | 2013-11-27 |
| 1225473796 | West Michigan Heart | Internal Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2013-05-09 |
| 1710224019 | Kathleen Sue Van Til | Nurse Practitioner | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2013-01-08 |
| 1699071506 | Aimee M James | Social Worker | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2011-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1982043006 | Jillian M Dashiell | Internal Medicine | 531 Sugartree Rd, Holland, PA 18966-1834 | 2013-06-21 |
| 1013355007 | Marcel Michael Letourneau | Internal Medicine | 602 Michigan Ave Ste 102, Holland, MI 49423-4918 | 2013-06-12 |
| 1750642831 | Stephanie Ann Branam | Internal Medicine | 577 Michigan Ave Ste 104, Holland, MI 49423-4911 | 2012-06-05 |
| 1871610493 | Christopher S Howell | Internal Medicine | 3235 N Wellness Dr Bldg A, Holland, MI 49424-7264 | 2007-03-26 |
| 1548366628 | Michael E. Rytting | Internal Medicine | 3235 N Wellness Dr Ste 120a, Holland, MI 49424-8035 | 2006-09-15 |
| 1326155904 | Gregory A Schrotenboer | Internal Medicine | 437 North 120th Ave, Holland, MI 49424 | 2006-08-23 |
| 1336182278 | Thomas D Burns | Internal Medicine | 3290 N Wellness Drive, Suite 220, Holland, MI 49424 | 2006-06-14 |
| 1790725802 | John Oostendorp | Internal Medicine | 588 Lakewood Blvd, Holland, MI 49424-2023 | 2006-06-07 |
| 1962459826 | Sanjeev Mathur | Internal Medicine | 3235 N Wellness Dr, #120b, Holland, MI 49424-7264 | 2006-05-27 |
| 1366493520 | Michael W Mott | Internal Medicine | 3232 N Wellness Dr, Holland, MI 49424-8027 | 2006-05-13 |
| Find all providers in HOLLAND | ||||
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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.