SPECTRUM HEALTH PRIMARY CARE PARTNERS


Address: 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677
Phone: 6164866870

SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1922582196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922582196
Entity Type Organization
Organization Name SPECTRUM HEALTH PRIMARY CARE PARTNERS
Practice Address 360 Lafayette Ave Se Ste 400
Grand Rapids
MI 49503-4677
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6164866870
Enumeration Date 2018-09-24
Last Update Date 2018-09-24
Authorized Official Name ELISABETH LACEY (MANAGER)
Authorized Official Telephone 6164866630
Is Organization Subpart Y
Parent Organization Name SPECTRUM HEALTH PRIMARY CARE PARTNERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Spectrum Health Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 360 LAFAYETTE AVE SE STE 400
City GRAND RAPIDS
State MI
Zip Code 49503-4677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932189651 Timothy J Conroy Pediatrics 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 2006-01-19
1154945616 Jessica Ann Jones Occupational Therapist 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 2020-06-01
1023415049 Megan Bratcher Psychologist 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 2014-11-20
1598108987 Karie Lynn Ingersoll Social Worker 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 2013-04-16
1326398215 Nancy F Bandstra Psychologist 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 2012-09-18

Providers in the same zip code

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 Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578860912 Spectrum Health Primary Care Partners Pediatrics 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2011-02-22
1538205539 Vivek Baluja Pediatrics 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 2007-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982904587 Spectrum Health Primary Care Partners Pediatrics 550 W Grand Ave, Muskegon, MI 49441-2336 2010-10-28
1730354994 Kheir Al Zouhayli Md PC Pediatrics 1639 E Big Beaver, 104, Troy, MI 48083 2008-04-28
1528048501 Yasser Awaad Pediatrics 1331 Monroe St, Dearborn, MI 48124-2888 2006-01-18
1669779005 Spectrum Health Primary Care Partners Pediatrics 100 Pine St, Suite 225, Zeeland, MI 49464-2600 2011-02-22
1710104187 Genesys Regional Medical Center Pediatrics 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 2007-04-19
1962543660 Colleen Noble Pediatrics 461 W Huron St, Nomc Developmental Pediatrics, Pontiac, MI 48341-1601 2007-02-08
1164571824 Oakwood Young Programs, LLC Pediatrics 25650 Outer Dr, Lincoln Park, MI 48146-2096 2007-01-10
1740375914 Douglas G Postels Pediatrics 804 Service Rd, A217, East Lansing, MI 48824-7015 2006-10-04

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49503

Improve Information

Please comment or provide details below to improve the information on SPECTRUM HEALTH PRIMARY CARE PARTNERS.

Dataset Information

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.

Trending Searches