SPECTRUM HEALTH KELSEY (NPI# 1144534520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144534520 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH KELSEY |
| Other Organization Name | SPECTURM HEALTH KELSEY HOSPITAL |
| Practice Address |
418 Washington St Lakeview MI 48850-9806 |
| Mailing Address |
Po Box 3567 Grand Rapids MI 49501-3567 |
| Practice Telephone | 9893526474 |
| Practice Fax Number | 9893528451 |
| Mailing Telephone | 2318328555 |
| Mailing Fax Number | 2318321319 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | RYAN JOHNSON (CONTROLLER) |
| Authorized Official Telephone | 6162256310 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH KELSEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 1060000147 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Specturm Health Kelsey Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730466822 | Spectrum Health Kelsey | General Practice | 420 S Lincoln St, Lakeview, MI 48850-8500 | 2011-11-03 |
| 1477846327 | Spectrum Health Kelsey | Registered Nurse | 418 Washington St, Lakeview, MI 48850-9806 | 2011-05-25 |
| 1356653182 | Spectrum Health Kelsey | Clinic/Center | 418 Washington St, Lakeview, MI 48850-7102 | 2010-07-09 |
| 1053582528 | Spectrum Health Kelsey | Medicare Defined Swing Bed Unit | 418 Washington Ave, Lakeview, MI 48850-9806 | 2008-03-12 |
| 1619162617 | Spectrum Health Kelsey | Nursing Facility/Intermediate Care Facility | 418 Washington St, Lakeview, MI 48850-9806 | 2007-09-12 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1538102173 | Spectrum Health Kelsey | General Acute Care Hospital | 418 Washington St, Lakeview, MI 48850-7102 | 2006-06-13 |
| Street Address |
418 WASHINGTON ST |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-9806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965184 | Samantha Varner | Occupational Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-09 |
| 1669974465 | Ryan William Norris | Physical Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-07 |
| 1679023964 | Sarah Rose Vanderhoof | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2016-10-11 |
| 1780057877 | Tangela Ann Zielinski | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-11-11 |
| 1659748259 | Melissa Joye Wilson | Nurse Practitioner | 418 Washington St, Lakeview, MI 48850-7102 | 2015-08-31 |
| 1033591805 | Brooke Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2015-06-29 |
| 1710369186 | Trina Hara | Family Medicine | 418 Washington St, Lakeview, MI 48850 | 2015-06-22 |
| 1710364054 | Spectrum Health Kelsey Hosp | Non-Pharmacy Dispensing Site | 418 Washington St, Lakeview, MI 48850-7102 | 2015-05-06 |
| 1760875918 | Spectrum Health United | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-03-12 |
| 1437548542 | Denise Joy Docter | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110308 | Julie Ann Smith | Pharmacist | 9695 N Greenville Road, Lakeview, MI 48850 | 2019-12-02 |
| 1891856217 | William James Winget | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2006-12-12 |
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
| 1124448634 | Naturally Simple, LLC | Advanced Practice Midwife | 332 S Lincoln Ave, Lakeview, MI 48850 | 2014-04-23 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1871643809 | James Vernon Draper | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2007-01-11 |
| 1265548689 | Harry Keith Treiber | Dentist | 412 Lincoln Ave., Lakeview, MI 48850-0080 | 2006-08-21 |
| 1467566752 | H. Keith Treiber Dds Family Dentistry PC | Dentist | 412 Lincoln Ave, Lakeview, MI 48850-0080 | 2006-08-17 |
| Find all providers in zip 48850 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343788 | Adult Patient Care Pllc | Hospitalist | 5496 Saint Andrew Dr, Clarkston, MI 48348-4836 | 2020-07-21 |
| 1790218360 | Eileen Chang | Hospitalist | 12745 S Saginaw St # 806-196, Grand Blanc, MI 48439-2437 | 2017-04-10 |
| 1588921357 | Erik Hemingway | Hospitalist | 1215 E. Michigan Ave., 7th Fl Tower, Lansing, MI 48912-1811 | 2012-04-18 |
| 1245533967 | Hussein Ajrouche, M.d., P.C. | Hospitalist | 12740 W Warren Ave Ste 200, Dearborn, MI 48126-4530 | 2010-12-20 |
| 1316178718 | Veni Jhansi Peram | Hospitalist | 20015 Boardwalk Blvd, Southfield, MI 48075-1158 | 2009-08-03 |
| 1932330511 | Aisha Zakia Rush | Hospitalist | 2 Hurley Plz Ste 212, Flint, MI 48503-5905 | 2009-07-31 |
| 1972773695 | Edward Peszko | Hospitalist | 307 East Houghton Ave, West Branch, MI 48661-1127 | 2008-03-10 |
| 1700069481 | Emmd Health Pllc | Hospitalist | 22319 Crestwood, Woodhaven, MI 48183 | 2007-12-17 |
| 1598874612 | Sripriya Ganesan | Hospitalist | 1675 Leahy St Ste 304b, Muskegon, MI 49442-5543 | 2006-08-30 |
| 1508971581 | Inpatient Medical Specialists, Plc | Hospitalist | 1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 | 2006-08-20 |
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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.