SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1992006142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992006142 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
3290 N Wellness Dr Holland MI 49424-7259 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163913933 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | PAULINE KRYWANSKI (SVP, FINANCE) |
| 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 | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
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 |
3290 N WELLNESS DR |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-7259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089907 | Suzette Sanchez | Dermatology | 3290 N Wellness Dr, Suite 260, Holland, MI 49424-7259 | 2005-08-10 |
| 1528506268 | Joshua M Fournier | Physician Assistant | 3290 N Wellness Dr, Ste 220, Holland, MI 49424-7259 | 2017-02-02 |
| 1376089433 | Ashley Louise Kulwicki | Physician Assistant | 3290 N Wellness Dr, Suite 220, Holland, MI 49424-7259 | 2017-01-13 |
| 1538445051 | Spectrum Health Primary Care Partners | Surgery | 3290 N Wellness Dr, Ste. 150, Holland, MI 49424-7259 | 2011-10-28 |
| 1437298049 | Suzette Sanchez, Do Dermatology, PC | Specialist | 3290 N Wellness Dr, Suite 260, Holland, MI 49424-7261 | 2007-02-06 |
| 1396808291 | Suzette Sanchez, D.o., Dermatology, P.c | Clinic/Center | 3290 N Wellness Dr, Suite 260, Holland, MI 49424-7259 | 2006-12-19 |
| 1265522296 | Premium Healthcare PC | Internal Medicine | 3290 N Wellness Dr, Suite 220, Holland, MI 49424-7259 | 2006-10-13 |
| 1487693669 | Donna Joan White | Physician Assistant | 3290 N Wellness Dr, Suite 180 Building D, Holland, MI 49424-7259 | 2006-06-05 |
| 1790774214 | John Louis Ehlert | Orthopaedic Surgery | 3290 N Wellness Dr, Suite 250, Holland, MI 49424-7259 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947164 | Jacalyn Bishop, Md, PC | Pediatrics | 44000 W. 12 Mile Rd, Suite 103, Novi, MI 48377-2646 | 2007-06-04 |
| 1750337135 | Colleen Buggs - Saxton | Pediatrics | 3950 Beaubien 3rd Floor, Detroit, MI 48201 | 2006-05-26 |
| 1144214990 | Bernard Degnan | Pediatrics | 3535 W 13 Mile Rd # 707, Royal Oak, MI 48073-6770 | 2005-09-08 |
| 1205368107 | Nellie Said | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5718 | 2017-03-30 |
| 1194168948 | Doris Rafic Taha | Pediatrics | 3950 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-04-11 |
| 1720355910 | Spectrum Health Primary Care Partners | Pediatrics | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2011-11-16 |
| 1215237813 | Spectrum Health Primary Care Partners | Pediatrics | 3535 Park St, Muskegon, MI 49444-3736 | 2010-10-28 |
| 1760782361 | Spectrum Health Primary Care Partners | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2010-10-28 |
| 1730494543 | Mouhammad Rateb Alwazeer | Pediatrics | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2010-08-17 |
| 1184935835 | Emily Rebecca Miller | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2010-06-28 |
| Find all providers with the same taxonomy | ||||
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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.