SPECTRUM HEALTH SLEEP DISORDERS CENTER (NPI# 1841541307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841541307 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH SLEEP DISORDERS CENTER |
| Practice Address |
4100 Lake Dr Se Suite 100 Grand Rapids MI 49546-8292 |
| Practice Telephone | 6163913759 |
| Practice Fax Number | 6162678232 |
| Mailing Telephone | 6163913759 |
| Mailing Fax Number | 6162678232 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MS. DE METRIA M CLARK (CARE MANAGEMENT COORDINATOR) |
| Authorized Official Telephone | 6163913759 |
| Authorized Official Credential | RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 15206 | MI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4100 LAKE DR SE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
| 1073146411 | James Walejewski | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2020-02-13 |
| 1811458557 | Michelle Kuzma | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2019-03-26 |
| 1063943991 | Maggie Anstett | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2017-03-22 |
| 1851746671 | Luke Murray | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2016-04-29 |
| 1942665237 | Alyssa Susanne Baker | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2015-12-31 |
| 1619332806 | Elizabeth Albert | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2015-12-15 |
| 1609247618 | Rebecca Preston | Psychologist | 4100 Lake Dr Se, Suite B01, Grand Rapids, MI 49546-8292 | 2015-10-16 |
| 1255708921 | Timothy Glerum | Nurse Practitioner | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2015-08-28 |
| 1730556796 | Samantha Ford | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295227692 | Angel May | Specialist/Technologist, Other | 3905 Brenton Ct Se, Grand Rapids, MI 49508-8948 | 2018-05-31 |
| 1366590499 | Mary Lou Hanks | Specialist/Technologist, Other | 319 Sheldon Blvd Se, Grand Rapids, MI 49503-4515 | 2007-01-08 |
| 1609317932 | Jamin Gentry | Specialist/Technologist, Other | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2017-03-20 |
| 1841684339 | Ann Savino | Specialist/Technologist, Other | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-03-24 |
| 1396137279 | Kimberly Rose | Specialist/Technologist, Other | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-03-02 |
| 1184016404 | Carla Burgos De La Paz | Specialist/Technologist, Other | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-02-24 |
| 1154679348 | Audrey Jagt | Specialist/Technologist, Other | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1326599937 | Joel Bergwerff | Specialist/Technologist, Other | 2345 Riley St, Hudsonville, MI 49426-9678 | 2016-10-18 |
| 1093264715 | Brittany Adams | Specialist/Technologist, Other | 39749 Fox Valley Dr, Canton, MI 48188-1532 | 2016-09-22 |
| 1790238277 | Lana Ann Colwell | Specialist/Technologist, Other | 102 Arlene Ct, White Lake, MI 48386-1901 | 2016-08-01 |
| 1427400969 | Diane Hines | Specialist/Technologist, Other | 17530 Strathmoor St, Detroit, MI 48235-2725 | 2016-07-08 |
| 1588016331 | Martez Williams | Specialist/Technologist, Other | 3631 Wayburn St, Detroit, MI 48224-3370 | 2016-07-05 |
| 1366893182 | Morgan Kaylee Gadowski | Specialist/Technologist, Other | 197 Lynn Ct, Imlay City, MI 48444-1240 | 2016-06-22 |
| 1124478318 | Katharine Elisabeth Seal | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2016-06-17 |
| 1700236247 | Tanya Patrick | Specialist/Technologist, Other | 2306 Mountain Ave, Flint, MI 48503-2298 | 2016-06-15 |
| 1760846737 | Greg Mcgillvary | Specialist/Technologist, Other | Rose Center 100 Central Michigan University, Mount Pleasant, MI 48859-0001 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.