SPECTRUM HEALTH HOSPITALS (NPI# 1902108673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902108673 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH HOSPITALS |
| Practice Address |
330 Barclay Ave Ne Grand Rapids MI 49503-2556 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163918810 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | PAULINE KRYWANSKI (SVP OF FINANCE) |
| Authorized Official Telephone | 6164862253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals | ||
| N | 282NW0100X |
General Acute Care Hospital Specialization: Women |
Hospitals | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0005X |
Internal Medicine Specialization: Hypertension Specialist |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1922440478 | Spectrum Health Hospitals | Preventive Medicine | 1208 W Oak St, Greenville, MI 48838-2155 | 2013-07-25 |
| 1164665709 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 2902 Bradford St. Ne, Grand Rapids, MI 49525-6427 | 2009-04-13 |
| 1114014594 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 4100 Lake Drive Se, Suite 100, Grand Rapids, MI 49546-8292 | 2006-10-06 |
| 1447358304 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 5378 Plainfield Ave Ne, Grand Rapids, MI 49525-1053 | 2006-09-21 |
| 1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| Street Address |
330 BARCLAY AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011531 | Michelle Backus-walzer | Obstetrics & Gynecology | 330 Barclay Ave Ne, Suite 304, Grand Rapids, MI 49503-2556 | 2005-08-31 |
| 1215599352 | Ananya Mishra | Pediatrics | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2019-06-28 |
| 1629563747 | Khercie Smith | Pediatrics | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2018-06-30 |
| 1346745486 | Ronda Boss | Social Worker | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2018-03-29 |
| 1497205363 | Jenna Houghton | Registered Nurse | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-10-04 |
| 1992158851 | Cecilia Dietrich | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-07-15 |
| 1053763862 | Mounir Djemil | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-07-05 |
| 1003267790 | Christina Marie Hamilton | Obstetrics & Gynecology | 330 Barclay Ave Ne, Suite 304, Grand Rapids, MI 49503-2556 | 2016-06-24 |
| 1457701500 | Tamara Larue | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-06-20 |
| 1639529787 | Kathryn Higdon | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1073836250 | Raymond Everett Fuller | Internal Medicine | 15 Andre St Se, Grand Rapids, MI 49507-3010 | 2010-03-02 |
| 1447299599 | Ronald Vanderlaan | Internal Medicine | 1310 E Beltline Ave Se, Ste 130, Grand Rapids, MI 49506-4303 | 2006-06-05 |
| 1942289798 | Michael G Dickinson | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2006-01-11 |
| 1952382137 | David Bryan Johnson | Internal Medicine | 638 Fulton St W, Suite B, Grand Rapids, MI 49504-6313 | 2005-11-07 |
| 1265423651 | Prerana Anand Manohar | Internal Medicine | 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724 | 2005-11-03 |
| 1669984480 | Advanced Cardiac & Vascular Centers for Amputation Prevention Plc | Internal Medicine | 1525 E Beltline Ave Ne, Grand Rapids, MI 49525-4598 | 2017-11-02 |
| 1114389251 | Christopher Madison | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2016-03-28 |
| 1366804940 | Malav Parikh | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2016-03-23 |
| 1265849541 | Jose Mariano Tiu Tan II | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2014-07-17 |
| 1871919290 | Spectrum Health Primary Care Partners | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2014-03-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on SPECTRUM HEALTH HOSPITALS.
| 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.