Sangjin Lee
SPECTRUM HEALTH PRIMARY CARE PARTNERS


Address: 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Phone: 6163912802

Sangjin Lee (NPI# 1013050764, PAC ID# 4789788787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1013050764
PAC ID by PECOS 4789788787
Professional Enrollment ID I20140904000115
Full Name Sangjin Lee
Organization Legal Name SPECTRUM HEALTH PRIMARY CARE PARTNERS
Address 330 Barclay Ave Ne
200 Shmg Heart and Lung Transplant
Grand Rapids
MI 49503-2525
Phone Number 6163912802
Gender M
Credential MD
Medical School NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE
Graduation Year 2003
Primary Specialty ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY
Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 4587568647
Number of Group Practice Members 1248
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230038 SPECTRUM HEALTH-BUTTERWORTH CAMPUS
231339
230230 EDWARD W SPARROW HOSPITAL

Other Locations

Address Phone Organization
100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 SPECTRUM HEALTH PRIMARY CARE PARTNERS
100 Michigan St Ne Rm, 280 Helen Devos Children's Hospital, Grand Rapids, MI 49503-2560 6162670115 SPECTRUM HEALTH PRIMARY CARE PARTNERS
2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 6163916220 SPECTRUM HEALTH PRIMARY CARE PARTNERS
2332 Alpine Ave Nw, Shmg Diabetes Education (alpine), Grand Rapids, MI 49544-1955 6162678950 SPECTRUM HEALTH PRIMARY CARE PARTNERS
2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 6163916236 SPECTRUM HEALTH PRIMARY CARE PARTNERS
2900 Bradford St Ne, Shmg Cardiovascular Medicine, Grand Rapids, MI 49525-6427 6168855000 SPECTRUM HEALTH PRIMARY CARE PARTNERS
2902 Bradford, Grand Rapids, MI 49525-6427 6164866577 SPECTRUM HEALTH PRIMARY CARE PARTNERS
330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525 6163912802 SPECTRUM HEALTH PRIMARY CARE PARTNERS
4444 Kalamazoo Ave Se, 200 Shmg Internal Medicine, Kentwood, MI 49508-4600 6163915600 SPECTRUM HEALTH PRIMARY CARE PARTNERS

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 45%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 45%
MIPS_EC_113_overall Colorectal Cancer Screening 23%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97%

Organization Information

Organization Legal Name SPECTRUM HEALTH PRIMARY CARE PARTNERS
Physicians 1352

Physicians with the same organization

Name Specialty Organization Address
Heather L Bur Nurse Practitioner Spectrum Health Primary Care Partners 4100 Lake Dr Se, B01 Shmg Bariatric Surgery, Grand Rapids, MI 49546-8292
Emily Elizabeth Fulton Physician Assistant Spectrum Health Primary Care Partners 8501 Meadow Crk, Rockford, MI 49341-7524
Erik Christopher Peterson Nurse Practitioner Spectrum Health Primary Care Partners 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550
Bethany Soule Duyser Nurse Practitioner Spectrum Health Primary Care Partners 725 Baldwin St, Jenison, MI 49428-7945
Nichole Anne Bundschuh Nurse Practitioner Spectrum Health Primary Care Partners 9090 S Rodgers Ct Se A, Shmg Family Medicine Caledonia, Caledonia, MI 49316-8052
Sarah Anne Jongsma Clinical Social Worker Spectrum Health Primary Care Partners 3152 Port Sheldon Rd, Hudsonville, MI 49426-9297
Ora Darling Physician Assistant Spectrum Health Primary Care Partners 615 S Bower, Greenville, MI 48838-2614
Mudita Bhugra Internal Medicine Spectrum Health Primary Care Partners 1900 Wealthy Se, Suite 200, Grand Rapids, MI 49506-2969
Marcos Itamar Cordoba-munoz Obstetrics/gynecology Spectrum Health Primary Care Partners 25 Michigan St Ne, Shmg Diabetes Education (25 Mich), Grand Rapids, MI 49503-2515
Jason Biehl Pulmonary Disease Spectrum Health Primary Care Partners 35 Michigan Ne, Grand Rapids, MI 49503-2508

Office Location

Street Address 330 BARCLAY AVE NE
200 SHMG HEART AND LUNG TRANSPLANT
City GRAND RAPIDS
State MI
Zip 49503-2525

Physicians in the same location

Name Specialty Organization Address
Carrie J Jerow Physician Assistant Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Edward Thomas Murphy Thoracic Surgery Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Daniel Lajoie Nurse Practitioner Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Shannon M Jansma Physician Assistant Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Renzo Y Loyaga-rendon Advanced Heart Failure and Transplant Cardiology Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Jacquelyn Oliai Nurse Practitioner Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Reda Girgis Pulmonary Disease Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Jorgelina De Sanctis Infectious Disease Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Teresa L Wainscott Physician Assistant Spectrum Health Primary Care Partners 330 Barclay Ave Ne, 200 Shmg Heart and Lung Transplant, Grand Rapids, MI 49503-2525
Cynthia M Hingtgen Neurology Spectrum Health Primary Care Partners 330 Barclay Ave Ne, Grand Rapids, MI 49503-2527
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Physicians in the same zip code

Name Specialty Organization Address
Yaw Appiagyei-dankah Pediatric Medicine Spectrum Health Primary Care Partners 230 Michigan Ave Ne, Grand Rapids, MI 49503
Steven G Hamming Psychologist, Clinical 85 Campau Nw, Suite 100, Grand Rapids, MI 49503
Scott Douglas Hadley Physical Therapy 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070
Doreen T Berrios Nurse Practitioner Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Jaclyn Michelle Abbate Clinical Social Worker Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Karen Georgianna O'strander Clinical Social Worker Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Richard E Myers Psychiatry Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Patrick J Handlin Physician Assistant Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Courtney E Kozarian Clinical Social Worker Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Jillaine A Ruppel Nurse Practitioner Hope Network Behavorial Health Services 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129
Find all physicians in zip 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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