SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1962711135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962711135 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
707 S Greenville West Dr Greenville MI 48838-3514 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167543001 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| 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 | 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 |
707 S GREENVILLE WEST DR |
| City | GREENVILLE |
| State | MI |
| Zip Code | 48838-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659335396 | Kevin T Oconnor | Surgery | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2006-04-12 |
| 1235504770 | Spectrum Health United | Pediatrics | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2015-12-09 |
| 1477927184 | Spectrum Health United | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2015-11-18 |
| 1154630655 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2010-09-30 |
| 1043540818 | Michigan Medical Patient Care | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2009-12-30 |
| 1295975068 | Thomas Carl Ziolkowski | Surgery | 707 S Greenville West Dr, Greenville, MI 48838-2102 | 2009-03-05 |
| 1316148695 | Michigan Medical Patient Care | Durable Medical Equipment & Medical Supplies | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2007-05-31 |
| 1093838922 | James Alfred Thiel | Orthopaedic Surgery | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2007-04-07 |
| 1245358365 | James Andrew Martin | Social Worker | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2007-03-27 |
| 1790869329 | Jusith A Amparo | Surgery | 707 S Greenville West Dr, Greenville, MI 48838-2102 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
| 1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
| 1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
| 1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
| 1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| 1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
| 1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
| 1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
| Find all providers in zip 48838 | ||||
| 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 |
|---|---|---|---|---|
| 1043868789 | Hopewell Medical Care LLC | Internal Medicine | 2090 Woodruff Rd, Greenville, SC 29607-5939 | 2019-08-27 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1689193237 | Gim Barry Blackston, Md, Pa | Internal Medicine | 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400 | 2017-09-14 |
| 1003357948 | Keith Freeman | Internal Medicine | 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 | 2017-03-11 |
| 1871945204 | Annum Faisal | Internal Medicine | 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 | 2016-07-11 |
| 1508284324 | Lusana Ahsan | Internal Medicine | 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 | 2014-03-29 |
| 1548604341 | William M Wooten | Internal Medicine | 2400 Stantonsburg Rd, Greenville, NC 27834-7210 | 2013-04-23 |
| 1356699904 | Mohammad Raihan Azad | Internal Medicine | 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 | 2012-08-29 |
| 1104185420 | Geoffrey P Little | Internal Medicine | 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 | 2012-05-07 |
| 1053679530 | Matthew Earles Dauterive | Internal Medicine | 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 | 2012-05-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 48838 |
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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.