SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1326599671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326599671 |
Entity Type | Organization |
Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
Practice Address |
230 Michigan St Ne Suite 101 Grand Rapids MI 49503-2550 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6163913933 |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-11-04 |
Authorized Official Name | LEISA KIMBROUGH (SR DIRECTOR REVENUE CYCLE) |
Authorized Official Telephone | 6164866790 |
Is Organization Subpart | Y |
Parent Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
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 |
230 MICHIGAN ST NE SUITE 101 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503-2550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972507911 | John Patrick Lagrand | Obstetrics & Gynecology | 230 Michigan St Ne, Ste 102, Grand Rapids, MI 49503-2550 | 2005-06-08 |
1609480219 | Amanda L Tomes | Clinical Nurse Specialist | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2020-09-01 |
1043871270 | Allyson Lenn Hunt | Internal Medicine | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2019-06-27 |
1912401746 | Eric David Lueck | Physical Therapist | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2018-03-19 |
1902300734 | Sandra Frantz | Physical Therapist | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2018-03-19 |
1801247697 | Curtis Joseph Behenna | Internal Medicine | 230 Michigan St Ne, Grand Rapids, MI 49503 | 2016-06-23 |
1467869859 | Katherine Defouw | Nurse Practitioner | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 | 2014-07-17 |
1649515867 | Holly N. Fiddler | Physician Assistant | 230 Michigan St Ne, Suite 300, Grand Rapids, MI 49503-2550 | 2012-11-28 |
1417228305 | Amanda L Kelly | Physician Assistant | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 | 2012-01-24 |
1952694572 | Briana M Ophoff | Physician Assistant | 230 Michigan St Ne, Ste 230, Grand Rapids, MI 49503-2550 | 2011-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
Find all providers in zip 49503 |
Taxonomy Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184935835 | Emily Rebecca Miller | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2010-06-28 |
1619208980 | Jose Manuel Jimenez Vega | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2010-01-26 |
1669616462 | Christel Keefe | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2009-04-23 |
1821252545 | Maala S Daniel | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2008-07-11 |
1407024029 | Donna Siwai Eng | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2008-02-16 |
1093823940 | Yaw Appiagyei-dankah | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2006-08-29 |
1457321481 | Ayse P Cemeroglu | Pediatrics | 230 Michigan St Ne, Ste.101, Grand Rapids, MI 49503-2550 | 2006-01-24 |
1881664811 | Daniel C. Postellon | Pediatrics | 230 Michigan St Ne, Suite 101, Grand Rapids, MI 49503-2550 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396947164 | Jacalyn Bishop, Md, PC | Pediatrics | 44000 W. 12 Mile Rd, Suite 103, Novi, MI 48377-2646 | 2007-06-04 |
1750337135 | Colleen Buggs - Saxton | Pediatrics | 3950 Beaubien 3rd Floor, Detroit, MI 48201 | 2006-05-26 |
1144214990 | Bernard Degnan | Pediatrics | 3535 W 13 Mile Rd # 707, Royal Oak, MI 48073-6770 | 2005-09-08 |
1205368107 | Nellie Said | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5718 | 2017-03-30 |
1194168948 | Doris Rafic Taha | Pediatrics | 3950 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-04-11 |
1720355910 | Spectrum Health Primary Care Partners | Pediatrics | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2011-11-16 |
1992006142 | Spectrum Health Primary Care Partners | Pediatrics | 3290 N Wellness Dr, Holland, MI 49424-7259 | 2010-11-04 |
1215237813 | Spectrum Health Primary Care Partners | Pediatrics | 3535 Park St, Muskegon, MI 49444-3736 | 2010-10-28 |
1760782361 | Spectrum Health Primary Care Partners | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2010-10-28 |
1730494543 | Mouhammad Rateb Alwazeer | Pediatrics | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2010-08-17 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49503 |
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.