SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1528699006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528699006 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
7 Atkinson Dr Ludington MI 49431-1953 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6168855000 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | ELISABETH LACEY (MANAGER) |
| Authorized Official Telephone | 6164866630 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | 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 |
7 ATKINSON DR |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328573 | Sonya C Camilli | Physician Assistant | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2005-06-30 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1063684769 | Bryan Anthony Kovas | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2008-04-02 |
| 1093842759 | Bethany Anne Hartrum | Nurse Practitioner | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2007-02-28 |
| 1205997749 | Kent Vision Centers Inc | Optometrist | 7 Atkinson Dr, Suite 115, Ludington, MI 49431-1953 | 2006-12-12 |
| 1326155144 | Zane M Knoer | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-08-25 |
| 1851313878 | Luanne Parks | Nurse Practitioner | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-07-25 |
| 1417909102 | Carol E Peterson | Internal Medicine | 7 Atkinson Dr, Suite 115, Ludington, MI 49431-1953 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369884 | Mary Keating Ocallaghan | Internal Medicine | 889 N Jebavy Dr, Ludington, MI 49431-1208 | 2005-07-11 |
| 1669017380 | Hospitalist Medicine Physicians of Michigan - Kalamazoo, Pllc | Internal Medicine | 1 Atkinson Dr, Ludington, MI 49431-1906 | 2019-11-18 |
| 1225424898 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-04-10 |
| 1447643689 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-03-12 |
| 1063684769 | Bryan Anthony Kovas | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2008-04-02 |
| 1467650614 | Mary K O'callaghan Do PC | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2007-07-10 |
| 1669504882 | Persson Internal Medicine,p.c | Internal Medicine | 5 N Atkinson Dr, Suite #207, Ludington, MI 49431-2918 | 2007-03-12 |
| 1033288840 | John Craig Persson | Internal Medicine | 5 Atkinson Drive, Ste #207, Ludington, MI 49431 | 2006-11-07 |
| 1316054125 | Ralph Avedisian | Internal Medicine | 7 N Atkinson Dr, Suite 111, Ludington, MI 49431-1953 | 2006-08-25 |
| 1326155144 | Zane M Knoer | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-08-25 |
| Find all providers in LUDINGTON | ||||
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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.