SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1134668015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134668015 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Other Organization Name | SPECTRUM HEALTH MEDICAL GROUP |
| Practice Address |
1009 W Green St Hastings MI 49058-1710 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2697986762 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | LEISA KIMBROUGH (SEN DIRECTOR REVUNE CYCLE) |
| Authorized Official Telephone | 6164866579 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Spectrum Health Medical Group | Doing Business As Name - Organization |
| 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 |
1009 W GREEN ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001146 | Pennock Hospital | General Acute Care Hospital | 1009 W Green St, Hastings, MI 49058-1710 | 2005-08-24 |
| 1467050880 | Bettina L Jones | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-10-16 |
| 1053927442 | Christina Marie Lindahl | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2020-09-21 |
| 1174141386 | Matthew Clay Slotman | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2020-07-14 |
| 1023643293 | Colleen Patricia Garber | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-03-09 |
| 1730712407 | Kelsey Townley | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-02-20 |
| 1760024558 | Megan Mcconnell | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2019-10-13 |
| 1942767470 | Eric Michael Smith | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-20 |
| 1508321456 | Lyndi Jo Henry | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-05 |
| 1578036091 | Jacob R Deboni | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215185970 | Bruce Jay Bottlinger | Psychiatry & Neurology | 501 North Colorado Avenue, Hastings, NE 68901-5251 | 2008-09-05 |
| 1568568202 | Hastings Community Psychiatry LLC | Psychiatry & Neurology | 209 W 9th St Ste D, Hastings, NE 68901-3971 | 2006-09-16 |
| 1437111937 | Almario M Garaza | Psychiatry & Neurology | 500 Barfield Dr, Hastings, MI 49058-9018 | 2006-04-03 |
| 1649247107 | Susan Theresa Howard | Psychiatry & Neurology | 420 W 5th St, Suite 201, Hastings, NE 68901-7551 | 2006-03-03 |
| 1548893209 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 1108 W State St Ste 3, Hastings, MI 49058-9711 | 2020-02-20 |
| 1669813549 | Rachel Faust | Psychiatry & Neurology | 835 S Burlington Ave Ste 108, Hastings, NE 68901-6928 | 2013-07-08 |
| 1295046506 | Preeti Dusaj | Psychiatry & Neurology | 835 S Burlington Ave Ste 108, Hastings, NE 68901-6928 | 2010-07-01 |
| 1245559988 | Barry County Community Autism & Telehealth Services | Psychiatry & Neurology | 500 Barfield Dr, Hastings, MI 49058-9018 | 2010-05-20 |
| 1366486961 | Barbara Andrea Diaz Hernandez | Psychiatry & Neurology | 500 Barfield Dr, Hastings, MI 49058-9018 | 2006-06-15 |
| 1912969551 | Susan K Betcher | Psychiatry & Neurology | 1210 1st St W, Hastings, MN 55033-1147 | 2006-04-06 |
| Find all providers in HASTINGS | ||||
Please comment or provide details below to improve the information on SPECTRUM HEALTH PRIMARY CARE PARTNERS.
| 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.