SPECTRUM HEALTH HOSPITALS (NPI# 1366438632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366438632 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH HOSPITALS |
| Other Organization Name | SPECTRUM HEALTH ENDOSCOPY CENTER |
| Practice Address |
4100 Lake Dr Se Grand Rapids MI 49546-8292 |
| Mailing Address |
100 Michigan St Ne Mc 406 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163917580 |
| Mailing Telephone | 6163911774 |
| Mailing Fax Number | 6167747699 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | MR. DOUGLAS D. WELDAY (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 6163912525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
416830 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 40124 | 01 |
| MI | 5170255 | 05 |
| Other Name | Type Code |
|---|---|
| Spectrum Health Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1922440478 | Spectrum Health Hospitals | Preventive Medicine | 1208 W Oak St, Greenville, MI 48838-2155 | 2013-07-25 |
| 1164665709 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 2902 Bradford St. Ne, Grand Rapids, MI 49525-6427 | 2009-04-13 |
| 1114014594 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 4100 Lake Drive Se, Suite 100, Grand Rapids, MI 49546-8292 | 2006-10-06 |
| 1447358304 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 5378 Plainfield Ave Ne, Grand Rapids, MI 49525-1053 | 2006-09-21 |
| 1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1609491000 | Spectrum Health Hospitals | Audiologist-Hearing Aid Fitter | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-06-11 |
| Street Address |
4100 LAKE DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146411 | James Walejewski | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2020-02-13 |
| 1811458557 | Michelle Kuzma | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2019-03-26 |
| 1063943991 | Maggie Anstett | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2017-03-22 |
| 1851746671 | Luke Murray | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2016-04-29 |
| 1942665237 | Alyssa Susanne Baker | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2015-12-31 |
| 1619332806 | Elizabeth Albert | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2015-12-15 |
| 1609247618 | Rebecca Preston | Psychologist | 4100 Lake Dr Se, Suite B01, Grand Rapids, MI 49546-8292 | 2015-10-16 |
| 1255708921 | Timothy Glerum | Nurse Practitioner | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2015-08-28 |
| 1730556796 | Samantha Ford | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2015-08-26 |
| 1659756773 | Daniel Janes | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1720530405 | Grand Rapids Surgical Suites, Pllc | Clinic/Center | 2505 E Paris Ave Se, Suite 105, Grand Rapids, MI 49546-2459 | 2016-10-28 |
| 1134363690 | Oam Surgery Center At Midtowne, LLC | Clinic/Center | 555 Midtowne St Ne, Suite 200, Grand Rapids, MI 49503-5729 | 2009-04-28 |
| 1184815417 | Grand Rapids Plastic Surgery Plc | Clinic/Center | 426 Michigan St, Ste 300, Grand Rapids, MI 49503-5609 | 2007-08-01 |
| 1548332976 | Plastic Surgery Associates PC | Clinic/Center | 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 | 2006-11-14 |
| 1265487474 | Horseshoe Surgery Center, LLC | Clinic/Center | 1542 Golf Course Rd, Suite 105, Grand Rapids, MN 55744-9603 | 2006-05-24 |
| 1194798959 | East Paris Surgical Center, LLC | Clinic/Center | 1000 E Paris Ave Se, Suite Ll01, Grand Rapids, MI 49546-3680 | 2006-02-10 |
| 1255327540 | Spectrum Health Hospitals | Clinic/Center | 1000 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-3691 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1134685415 | Southfield Surgery Center LLC | Clinic/Center | 26225 Greenfield Road, Southfield, MI 48076-4704 | 2019-02-12 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.