SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1871805804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871805804 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
1840 Wealthy St Se Blodgett Hospital Grand Rapids MI 49506-2921 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163911759 |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
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 |
1840 WEALTHY ST SE BLODGETT HOSPITAL |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366416463 | Zamir Gani Podgorica | Internal Medicine | 1840 Wealthy St Se, Mc 426, Grand Rapids, MI 49506-2921 | 2006-02-15 |
| 1275142564 | William Donald Gower York | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-07-23 |
| 1558992172 | Jennifer Lynn Hauck | Dietitian, Registered | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-02-02 |
| 1144873845 | Lisa Joy Mccann-spry | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-22 |
| 1942862107 | Rose Lauren Clousing | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-08 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1336646835 | Christopher John Hopkins | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-04-11 |
| 1184128910 | Cory Farrell | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-19 |
| 1508369356 | Jodie M Dixon | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-16 |
| 1609379957 | Andrea Lueck | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1518377746 | Audrey Kay Sanders | Psychiatry & Neurology | 220 Cherry St Se # 1, Grand Rapids, MI 49503 | 2014-04-28 |
| 1598101115 | Rebecca Smith Tang | Psychiatry & Neurology | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2013-05-22 |
| 1497901110 | Jahandar Saifollahi | Psychiatry & Neurology | Saddle Back Center, Building 751-e Kenmore Avenue, S.e., Grand Rapids, MI 49546-2391 | 2008-08-13 |
| 1528008281 | Herman Sullivan | Psychiatry & Neurology | 200 Cherry St Se, Grand Rapids, MI 49503 | 2006-06-08 |
| 1144269432 | Rajeev Deveshwar | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Spectrum Health Medical Group Neurovascular/stroke Offi, Grand Rapids, MI 49503-2561 | 2006-06-05 |
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1255388062 | John Visser | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 | 2006-05-27 |
| 1295792026 | Neurological Associates of West Mi, PC | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-04-26 |
| 1467427088 | Evelyn Panagsagan Navarro | Psychiatry & Neurology | 3200 Eagle Park Dr Ne Ste 103, Grand Rapids, MI 49525 | 2006-02-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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.