SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1760782361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760782361 |
Entity Type | Organization |
Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
Practice Address |
5024 N Royal Dr Traverse City MI 49684-9230 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6163913933 |
Enumeration Date | 2010-10-28 |
Last Update Date | 2010-10-28 |
Authorized Official Name | PAULINE KRYWANSKI (SVP, FINANCE) |
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 | 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 |
5024 N ROYAL DR |
City | TRAVERSE CITY |
State | MI |
Zip Code | 49684-9230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357832 | James Wallace Robertson | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2005-06-22 |
1346759297 | Rebecca Elaine Baker | Registered Nurse | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2017-09-22 |
1780903187 | Joan Elizabeth Hazelton | Social Worker | 5024 N Royal Dr, Ste B, Traverse City, MI 49684-9230 | 2010-05-25 |
1710045661 | Alicia Classens | Nurse Practitioner | 5024 N Royal Dr, Kids Creek Children's Clinic, Traverse City, MI 49684-9230 | 2006-12-04 |
1043311731 | Cynthia Smith | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2006-09-26 |
1386745073 | Michael Eldredge | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2006-09-26 |
1649291832 | Kids Creek Childrens Clinic | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
Find all providers in zip 49684 |
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 |
---|---|---|---|---|
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 |
1730494543 | Mouhammad Rateb Alwazeer | Pediatrics | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2010-08-17 |
1184935835 | Emily Rebecca Miller | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2010-06-28 |
Find all providers with the same taxonomy |
City | TRAVERSE CITY |
Zip Code | 49684 |
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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.