SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI# 1952604878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952604878 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Practice Address |
1179 E Paris Ave Se Ste. 200 Grand Rapids MI 49546-8371 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162777100 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | PAULINE KRYWANSKI (SVP) |
| 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 | 208C00000X | Colon & Rectal Surgery | 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 |
1179 E PARIS AVE SE STE. 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772442 | William J Walters | Psychiatry & Neurology | 1179 E Paris Ave Se, Suite 220, Grand Rapids, MI 49546-3682 | 2005-07-07 |
| 1669864732 | Brett Kingma | Dentist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2015-02-26 |
| 1144505058 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 1179 E Paris Ave Se, Ste. 220, Grand Rapids, MI 49546-8371 | 2011-10-12 |
| 1821390097 | Scott M Mahar | Audiologist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2010-11-22 |
| 1609188531 | Grady S Randall | Dentist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2010-07-08 |
| 1720250145 | Karen Lynn Meyerson | Nurse Practitioner | 1179 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-8371 | 2008-03-26 |
| 1407066996 | Andrew M. Behler | Otolaryngology | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-05-23 |
| 1457563959 | James Anthony Spoto | Otolaryngology | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-05-04 |
| 1962627802 | Mark Marshall Millar | Allergy & Immunology | 1179 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-8371 | 2007-04-16 |
| 1720201742 | Darius Lamont Randall | Social Worker | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716073 | Adnan Qureshi | Colon & Rectal Surgery | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2017-08-18 |
| 1730613027 | Rohin Mittal | Colon & Rectal Surgery | 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2017-04-13 |
| 1245598820 | Katherine A Kelley | Colon & Rectal Surgery | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2012-05-02 |
| 1194037127 | Spectrum Health Primary Care Partners | Colon & Rectal Surgery | 3230 Eagle Park Dr Ne, Suite 210, Grand Rapids, MI 49525-7007 | 2010-07-07 |
| 1356653380 | Spectrum Health Primary Care Partners | Colon & Rectal Surgery | 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 | 2010-07-07 |
| 1861515504 | Michael Colin Ott | Colon & Rectal Surgery | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2007-04-09 |
| 1124069703 | Martin Luchtefeld | Colon & Rectal Surgery | 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 | 2006-06-08 |
| 1568419745 | Rebecca Hoedema | Colon & Rectal Surgery | 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 | 2006-05-31 |
| 1154378404 | Heather Slay | Colon & Rectal Surgery | 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649566068 | Kristin M Busch | Colon & Rectal Surgery | 4201 Campus Ridge Dr, Midland, MI 48640-6128 | 2011-06-23 |
| 1215245329 | Warren P Mazier | Colon & Rectal Surgery | 7701 Conservation St Ne, Ada, MI 49301-9522 | 2010-09-23 |
| 1346566908 | William Lionel Beauregard | Colon & Rectal Surgery | 4406 Birch Run Dr, Troy, MI 48098-4341 | 2010-04-07 |
| 1114140167 | Ralph D Pearlman Md PC | Colon & Rectal Surgery | 22250 Providence Dr Ste 702, Southfield, MI 48075-6215 | 2007-04-10 |
| 1770637753 | Chairat Chomchai | Colon & Rectal Surgery | 28111 Hoover Road, Suite 6a, Warren, MI 48093 | 2007-01-23 |
| 1225191844 | John C. Eggenberger | Colon & Rectal Surgery | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2006-12-18 |
| 1518051358 | Colon and Rectal Surgery Associates PC | Colon & Rectal Surgery | 1126 Gull Rd, Kalamazoo, MI 49048 | 2006-10-03 |
| 1568569655 | Farouk S Tootla | Colon & Rectal Surgery | 44060 Woodward Ave, Bloomfield Hills, MI 48302-5038 | 2006-09-20 |
| 1962470435 | Harold D Friedl | Colon & Rectal Surgery | 1126 Gull Road, Colon and Rectal Surgery Associates PC, Kalamazoo, MI 49048-1726 | 2006-03-10 |
| 1619950631 | Ganesh R Deshmukh | Colon & Rectal Surgery | 3106 S Wayne Rd, Wayne, MI 48184 | 2005-11-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.