SPECTRUM HEALTH KELSEY HOSP (NPI# 1710364054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710364054 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH KELSEY HOSP |
| Other Organization Name | SPECTRUM HEALTH KESLEY HOSPITAL |
| Practice Address |
418 Washington St Lakeview MI 48850-7102 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 6162256838 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | RYAN JOHNSON (VP - FINANCE) |
| Authorized Official Telephone | 6162256310 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH KELSEY HOSP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Spectrum Health Kesley Hospital | Doing Business As Name - Organization |
| Street Address |
418 WASHINGTON ST |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965184 | Samantha Varner | Occupational Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-09 |
| 1669974465 | Ryan William Norris | Physical Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-07 |
| 1679023964 | Sarah Rose Vanderhoof | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2016-10-11 |
| 1780057877 | Tangela Ann Zielinski | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-11-11 |
| 1659748259 | Melissa Joye Wilson | Nurse Practitioner | 418 Washington St, Lakeview, MI 48850-7102 | 2015-08-31 |
| 1033591805 | Brooke Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2015-06-29 |
| 1710369186 | Trina Hara | Family Medicine | 418 Washington St, Lakeview, MI 48850 | 2015-06-22 |
| 1760875918 | Spectrum Health United | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-03-12 |
| 1437548542 | Denise Joy Docter | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-01-13 |
| 1245630698 | Lora Rose Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110308 | Julie Ann Smith | Pharmacist | 9695 N Greenville Road, Lakeview, MI 48850 | 2019-12-02 |
| 1891856217 | William James Winget | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2006-12-12 |
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
| 1124448634 | Naturally Simple, LLC | Advanced Practice Midwife | 332 S Lincoln Ave, Lakeview, MI 48850 | 2014-04-23 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1871643809 | James Vernon Draper | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2007-01-11 |
| 1265548689 | Harry Keith Treiber | Dentist | 412 Lincoln Ave., Lakeview, MI 48850-0080 | 2006-08-21 |
| 1467566752 | H. Keith Treiber Dds Family Dentistry PC | Dentist | 412 Lincoln Ave, Lakeview, MI 48850-0080 | 2006-08-17 |
| Find all providers in zip 48850 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1003332271 | Wrs Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 112 S Main St Ste A, Ann Arbor, MI 48104-1953 | 2017-08-18 |
| 1457759144 | Perfect Eyes Optical LLC | Non-Pharmacy Dispensing Site | 20880 Gratiot Ave, Eastpointe, MI 48021-2822 | 2014-12-11 |
| 1346478740 | Pristine Medical LLC | Non-Pharmacy Dispensing Site | 1502 W West Maple Rd, Walled Lake, MI 48390-2945 | 2009-06-24 |
| 1801910807 | Wolverine Optical Inc | Non-Pharmacy Dispensing Site | 7314 N Alger Rd, Alma, MI 48801-1072 | 2007-03-17 |
| 1255439253 | Anthony J Derrico Do | Non-Pharmacy Dispensing Site | Cancer Care Associates PC, 1701 S Blvd East Ste 350, Rochester Hills, MI 48307 | 2006-09-21 |
| 1336246263 | Clinical Oncology Associates | Non-Pharmacy Dispensing Site | 30160 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48334-2293 | 2006-09-20 |
| 1730124934 | Northpointe Pediatrics PC | Non-Pharmacy Dispensing Site | 30061 Schoenherr Rd, Ste A, Warren, MI 48088-3133 | 2006-06-19 |
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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.