SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1043631054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043631054 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
922 Lawndale St Ludington MI 49431-1928 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318457380 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| 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 | 207Q00000X | Family 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 |
922 LAWNDALE ST |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789568 | Jennifer Lynn Miller | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2005-06-09 |
| 1578178398 | Madeline Jane Beld | Nurse Practitioner | 922 Lawndale St, Ludington, MI 49431-1928 | 2020-09-09 |
| 1053821033 | Amelia Joy Ashcraft | Physician Assistant | 922 Lawndale St, Ludington, MI 49431-1928 | 2017-10-04 |
| 1033630082 | Ashleigh Elaine Graham | Physician Assistant | 922 Lawndale St, Ludington, MI 49431-1928 | 2017-06-29 |
| 1578913265 | Matthew William Holden | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2016-06-14 |
| 1346628518 | Memorial Medical Center of West Michigan | Clinic/Center | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-05-08 |
| 1225424898 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-04-10 |
| 1447643689 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-03-12 |
| 1942608005 | Andrea Sylvester | Nurse Practitioner | 922 Lawndale St, Ludington, MI 49431-1928 | 2014-12-05 |
| 1104011394 | Amanda Jo Overmyer | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2007-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750531224 | Kerry M. Simon, M.d., P.C. | Family Medicine | 220 S James St, Ludington, MI 49431-2104 | 2008-09-22 |
| 1801086046 | Gerry Leon Mayer | Family Medicine | 806 Russell St, Ludington, MI 49431-1872 | 2007-07-25 |
| 1790814762 | Rebecca Welborn Miller | Family Medicine | 7 Atkinson Dr Ste 113, Ludington, MI 49431-1953 | 2007-03-05 |
| 1861503658 | David Z Gadzinski Md PC | Family Medicine | 126 W Ludington Ave, Ludington, MI 49431-2022 | 2006-08-31 |
| 1760404214 | Robert Macnair Crompton | Family Medicine | 300 S Rath Ave, Suite 201, Ludington, MI 49431-3003 | 2006-07-24 |
| 1790789568 | Jennifer Lynn Miller | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2005-06-09 |
| 1306352711 | Andrea Carol Neve | Family Medicine | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2017-12-20 |
| 1578913265 | Matthew William Holden | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2016-06-14 |
| 1508260902 | Memorial Medical Center of West Michigan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-10-14 |
| 1891104568 | Memorial Medical Center of West Michigan | Family Medicine | 220 S James St, Ludington, MI 49431-2104 | 2014-08-07 |
| Find all providers in LUDINGTON | ||||
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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.