SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1629380647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629380647 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
4868 Lake Michigan Dr Suite B Allendale MI 49401-8434 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163917777 |
| 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 | 2085B0100X |
Radiology Specialization: Body Imaging |
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 |
4868 LAKE MICHIGAN DR SUITE B |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-8434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274408 | Michelle Gianturco | Family Medicine | 4868 Lake Michigan Dr, # 2, Allendale, MI 49401-8434 | 2005-06-09 |
| 1932602885 | Craig Allen Vissers | Physical Therapist | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2018-03-16 |
| 1871096180 | Robin Mae Dertien | Physical Therapist | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2018-03-13 |
| 1336450907 | Spectrum Health Primary Care Partners | Family Medicine | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2010-06-29 |
| 1942521091 | Kevin J Kross | Dentist | 4868 Lake Michigan Dr, Suite A, Allendale, MI 49401-8434 | 2010-06-11 |
| 1417279027 | American Hearing Centers, LLC | Audiologist-Hearing Aid Fitter | 4868 Lake Michigan Dr, Ste A, Allendale, MI 49401-9577 | 2010-02-23 |
| 1508968090 | Frederick Hoekzema Jr. | Dentist | 4868 Lake Michigan Dr, Suite A, Allendale, MI 49401-8434 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316284243 | Paula Kristine Maas | Radiology | 1904 Goldeneye Dr, Holland, MI 49424-6080 | 2013-01-11 |
| 1952548778 | Anthony P Kozma | Radiology | 26861 W River Rd, Grosse Ile, MI 48138-2135 | 2009-01-15 |
| 1053459529 | Sharon Cohen Siegel | Radiology | 264 Lakewood Dr, Bloomfield Hills, MI 48304-3531 | 2007-02-04 |
| 1306948989 | Donald Roger Klein | Radiology | 1299 Porters Ln, Bloomfield Hills, MI 48302-0941 | 2006-09-02 |
| 1316994213 | Anthony A Bennett M D P C | Radiology | 29777 Telegraph Rd, Southfield, MI 48034-7625 | 2006-05-27 |
| 1891747614 | Michigan State University | Radiology | 804 Service Rd # D100, East Lansing, MI 48824-7015 | 2006-05-17 |
| 1831192640 | Won B Chae | Radiology | 29829 Telegraph Rd, Ste L103, Southfield, MI 48034-1376 | 2005-05-24 |
| 1609499847 | Ron Guron | Radiology | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-05-21 |
| 1568020741 | Cristian Chagas | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-06-03 |
| 1588923148 | Saginaw Valley Medical Imaging | Radiology | 4200 Fashion Square Blvd, Suite 1, Saginaw, MI 48603-1375 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
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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.