Spectrum Health Primary Care Partners

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Practice address

922 Lawndale St
Ludington, MI 49431-1928

Phone

(231) 845-7380

NPI assigned

Dec 17, 2013

Last updated

Dec 17, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SPECTRUM HEALTH PRIMARY CARE PARTNERSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pauline Krywanski

Title

SVP Finance

Phone

(616) 486-2253

Specialties & licenses 1

Addresses

Part of

Spectrum Health Primary Care Partners

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1043631054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311928",
            "telephone_number": "231-845-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "KRYWANSKI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "SVP FINANCE",
        "authorized_official_telephone_number": "616-486-2253"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Ann Sommerfeldt, RD
• Spectrum Health
• Spectrum Health Hospital
• Spectrum Health Hospital
• Spectrum Health Hospital
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Renee Sporer, LLMSW

• Family Medicine Physician in Ludington, MI
• Providers in Ludington, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.