Spectrum Health Kelsey

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

SPECTRUM HEALTH KELSEY

Doing business as

Spectrum Health Kelsey Hospital

Practice address

418 Washington Ave
Lakeview, MI 48850-9806

Phone

(989) 352-7211

NPI assigned

Mar 12, 2008

Last updated

Jun 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan K Johnson

Title

VP Finance

Phone

(616) 225-6310

Specialties & licenses 1

Addresses

Other names 1

• Spectrum Health Kelsey Hospital Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Spectrum Health United

  • Obstetrics & Gynecology Physician
  • Lakeview, MI
  • NPI 1164766465

  Member Of

  NPD member

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1053582528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WASHINGTON AVE",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509806",
            "telephone_number": "989-352-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WASHINGTON AVE",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509806",
            "telephone_number": "989-352-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH KELSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "616-225-6310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Kelsey Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence W Schenden, MD
• Philip E Schumacher, DO
• Theresa Louise Scofield
• Julie Ann Smith, RPH
• Christina Marie Snyder, NP-C
• Spectrum Health Kelsey (Specturm Health Kelsey Hospital)
• Spectrum Health Kelsey (Lakeview Family Medicine)
• Spectrum Health Kelsey (Spectrum Health Kelsey Nurse Practitioners)
• Spectrum Health Kelsey (Spectrum Health Kelsey Hospital)
• Spectrum Health Kelsey (Spectrum Health Rehab & Nursing Centers - Kelsey)

• Medicare Defined Swing Bed Hospital Unit in Lakeview, MI
• Providers in Lakeview, MI by specialty
• Medicare Defined Swing Bed Hospital Unit in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.