SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1881906808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881906808 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
3271 Clear Vista Ct Ne Grand Rapids MI 49525-9477 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163917800 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2013-09-10 |
| 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 |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| 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 |
3271 CLEAR VISTA CT NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507788 | Kenneth J Fawcett Jr. | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2005-06-09 |
| 1386097723 | Jaime Swanson | Physician Assistant | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2016-07-21 |
| 1275905481 | Brittany Michele Geerdes | Nurse Practitioner | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2015-10-27 |
| 1295145803 | John Samuel Fleming | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2014-05-05 |
| 1396185534 | Nour Zleik | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-07-02 |
| 1811336506 | Amanda Rudert Holsworth | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-06-17 |
| 1346509692 | Jacqueline Eastman Yam | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2012-05-08 |
| 1326333444 | Theodore Edward Kelbel | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2011-06-16 |
| 1669766325 | Nicholas L Hartog | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2011-05-30 |
| 1346480258 | Spectrum Health Primary Care Partners | Nurse Practitioner | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2009-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1972098242 | Iman Qaiser | Internal Medicine | 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503-4502 | 2018-06-28 |
| 1477048437 | Angelea Young Heider | Internal Medicine | 25 Michigan St Ne Ste 210, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1386165942 | Sheda Monfared Beheshti | Internal Medicine | 300 Lafayette Ave Se Ste 3000, Grand Rapids, MI 49503-4692 | 2017-07-03 |
| 1831571389 | David Bryska | Internal Medicine | 300 Lafayette Ave Se # 3000, Grand Rapids, MI 49503-4692 | 2015-06-22 |
| 1104238484 | Andrea Landon | Internal Medicine | 2144 E Paris Ave Se # 200, Grand Rapids, MI 49546-6111 | 2014-05-21 |
| 1669813259 | Ruchira Sengupta | Internal Medicine | 100 Michigan St Ne # Mc031, Grand Rapids, MI 49503-2560 | 2013-07-10 |
| 1740595735 | Anas Ahmad | Internal Medicine | 1959 East Paris Ave S.e., Grand Rapids, MI 49546 | 2010-08-13 |
| 1871805895 | Spectrum Health Primary Care Partners | Internal Medicine | 4444 Kalamazoo Ave Sw, Suite 200, Grand Rapids, MI 49508 | 2010-07-07 |
| 1538489828 | Randall W. Green Md PC | Internal Medicine | 4070 Lake Dr Se Ste 201, Grand Rapids, MI 49546-8294 | 2010-06-09 |
| 1114120771 | David Chi Ming Shen | Internal Medicine | 310 Lafayette Se, Ste 415, Grand Rapids, MI 49503 | 2007-06-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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.