SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1194037127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194037127 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
3230 Eagle Park Dr Ne Suite 210 Grand Rapids MI 49525-7007 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164568613 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |
| Authorized Official Name | PAULINE KRYWANSKI (CFO) |
| 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 | 208C00000X | Colon & Rectal Surgery | 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 |
3230 EAGLE PARK DR NE SUITE 210 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882024 | David M Figg | Surgery | 3230 Eagle Park Dr Ne, Suite 210, Grand Rapids, MI 49525-7007 | 2005-06-22 |
| 1952799850 | Andrea Gillon | Nurse Practitioner | 3230 Eagle Park Dr Ne, 101, Grand Rapids, MI 49525-7007 | 2014-12-30 |
| 1912243056 | Kimberly Sue Agim | Nurse Practitioner | 3230 Eagle Park Dr Ne, Suite 101, Grand Rapids, MI 49525-7007 | 2012-12-18 |
| 1154671527 | Sherry Washburn | Nurse Practitioner | 3230 Eagle Park Dr Ne, Suite 200, Grand Rapids, MI 49525-7007 | 2012-09-13 |
| 1881864023 | Michigan Reproductive and Ivf Cener, PC | Obstetrics & Gynecology | 3230 Eagle Park Dr Ne, Suite 100, Grand Rapids, MI 49525-7007 | 2008-03-04 |
| 1427252667 | Valerie Shavell | Obstetrics & Gynecology | 3230 Eagle Park Dr Ne, Suite 100, Grand Rapids, MI 49525-7007 | 2007-06-12 |
| 1942334636 | Hospitalists of West Michigan PC | Clinic/Center | 3230 Eagle Park Dr Ne, Grand Rapids, MI 49525-7007 | 2007-03-15 |
| 1871678177 | Tricia Dee Mckee | Pharmacist | 3230 Eagle Park Dr Ne, Suite 101, Grand Rapids, MI 49525-7007 | 2006-10-26 |
| 1831270784 | Towers Surgeons, P.C. | Surgery | 3230 Eagle Park Dr Ne, Suite 210, Grand Rapids, MI 49525-7007 | 2006-10-18 |
| 1699728980 | Heartland Hospice Services LLC | Hospice Care, Community Based | 3230 Eagle Park Dr Ne, Suite 200, Grand Rapids, MI 49525-7047 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716073 | Adnan Qureshi | Colon & Rectal Surgery | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2017-08-18 |
| 1730613027 | Rohin Mittal | Colon & Rectal Surgery | 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2017-04-13 |
| 1245598820 | Katherine A Kelley | Colon & Rectal Surgery | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2012-05-02 |
| 1952604878 | Spectrum Health Primary Care Partners | Colon & Rectal Surgery | 1179 E Paris Ave Se, Ste. 200, Grand Rapids, MI 49546-8371 | 2010-12-15 |
| 1356653380 | Spectrum Health Primary Care Partners | Colon & Rectal Surgery | 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 | 2010-07-07 |
| 1861515504 | Michael Colin Ott | Colon & Rectal Surgery | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2007-04-09 |
| 1124069703 | Martin Luchtefeld | Colon & Rectal Surgery | 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 | 2006-06-08 |
| 1568419745 | Rebecca Hoedema | Colon & Rectal Surgery | 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 | 2006-05-31 |
| 1154378404 | Heather Slay | Colon & Rectal Surgery | 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649566068 | Kristin M Busch | Colon & Rectal Surgery | 4201 Campus Ridge Dr, Midland, MI 48640-6128 | 2011-06-23 |
| 1215245329 | Warren P Mazier | Colon & Rectal Surgery | 7701 Conservation St Ne, Ada, MI 49301-9522 | 2010-09-23 |
| 1346566908 | William Lionel Beauregard | Colon & Rectal Surgery | 4406 Birch Run Dr, Troy, MI 48098-4341 | 2010-04-07 |
| 1114140167 | Ralph D Pearlman Md PC | Colon & Rectal Surgery | 22250 Providence Dr Ste 702, Southfield, MI 48075-6215 | 2007-04-10 |
| 1770637753 | Chairat Chomchai | Colon & Rectal Surgery | 28111 Hoover Road, Suite 6a, Warren, MI 48093 | 2007-01-23 |
| 1225191844 | John C. Eggenberger | Colon & Rectal Surgery | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2006-12-18 |
| 1518051358 | Colon and Rectal Surgery Associates PC | Colon & Rectal Surgery | 1126 Gull Rd, Kalamazoo, MI 49048 | 2006-10-03 |
| 1568569655 | Farouk S Tootla | Colon & Rectal Surgery | 44060 Woodward Ave, Bloomfield Hills, MI 48302-5038 | 2006-09-20 |
| 1962470435 | Harold D Friedl | Colon & Rectal Surgery | 1126 Gull Road, Colon and Rectal Surgery Associates PC, Kalamazoo, MI 49048-1726 | 2006-03-10 |
| 1619950631 | Ganesh R Deshmukh | Colon & Rectal Surgery | 3106 S Wayne Rd, Wayne, MI 48184 | 2005-11-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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.