SPECTRUM HEALTH PRIMARY CARE PARTNERS


Address: 5024 N Royal Dr, Traverse City, MI 49684-9230
Phone: 6163913933

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 5024 N ROYAL DR
City TRAVERSE CITY
State MI
Zip Code 49684-9230

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City TRAVERSE CITY
Zip Code 49684

Improve Information

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Dataset Information

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.

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