Spectrum Health Primary Care Partners
Organization Active NPI Internal Medicine Physician · Grand Rapids, MI
NPI 1235188673 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1235188673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Practice address
- 1840 Wealthy St SE
Grand Rapids, MI 49506-2921 - Phone
- (616) 486-6793
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Ryan Catignani, MD
- Title
- VP Finance
- Phone
- (947) 522-0008
Other NPIs on the same Medicare enrollment 13
Practitioners 3,292
-
Kilee Rue Aamodt, PA-C
-
Shan E Abbas, M.D.
-
Amjad Abdallah, MD
-
Wissam Mohamad Abdallah, M.D.
-
Hafsa Abdulla, MD
-
Scott Abela, DO
-
Jonathan Belding Abraham, M.D.
-
Marcy Lind Adams, NP-C
-
Emily Jane Addington, PA-C
-
Chad Afman, MD
-
Muriam N Afzal, MD
-
Shefali Aggarwal, M.D
-
Valerie Ann Ahern, N.P.
-
Asad Ahrar, MD
-
Shaina Aifuwa, MD
-
Saad Ajja, CRNA
-
Ghassan Al Nabhan, M.D.
-
Alfred Joseph Albano, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000091 | MI | Part B Supplier - Clinic/Group Practice | 4587568647 |
Receives reassigned benefits from 3,022 practitioners 13 other NPIs on this enrollment |
| O20040115000586 | MI | Part B Supplier - Clinic/Group Practice | 4587568647 |
Receives reassigned benefits from 38 practitioners Practice locations: Grand Rapids, MI; Sparta, MI |
National Provider Directory
Locations (25 of 131)
3320 Old Jefferson Rd
Bldg 300
Athens, GA 30607
Phone (706) 410-1734
110 Mercer Pl
Commerce, GA 30529
Phone (706) 335-2302
200 Doctors Dr
Ste O
Douglas, GA 31533
Phone (912) 383-5655
4100 Lk Dr SE
Chicago, IL 60689
300 Longwood Ave
#261
Boston, MA 02115
7128 Fulton St E
Ste 998
Ada, MI 49301
7128 Fulton St E
#998
Ada, MI 49301
4868-2 Lake Michigan Dr
#820
Allendale, MI 49401
705 Oak St
Ste 202
Big Rapids, MI 49307
705 Oak St
Unit 3
Big Rapids, MI 49307
Phone (231) 592-4382
7985 S Mackinaw Trl
Ste 201
Cadillac, MI 49601
Phone (231) 779-5277
230 W Oak St
Ste 101
Fremont, MI 49412
Phone (616) 267-7400
15100 Whittaker Way
Ste 2
Grand Haven, MI 49417
16986 Robbins Rd
Ste 100
Grand Haven, MI 49417
15100 Whittaker Way
#A
Grand Haven, MI 49417
100 Michigan St NE
#103
Grand Rapids, MI 49503
Phone (616) 459-7258
100 Michigan St NE
#17
Grand Rapids, MI 49503
80 68th St SE
Ste 202
Grand Rapids, MI 49548
Phone (616) 267-0759
275 Michigan St NE
#222
Grand Rapids, MI 49503
1049 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 267-7668
230 Michigan St NE
Ste 304
Grand Rapids, MI 49503
100 Michigan St NE
Ste A721
Grand Rapids, MI 49503
Phone (616) 391-3139
1545 68th St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 267-7881
75 Sheldon Ave SE
Fl 2
Grand Rapids, MI 49503
Phone (616) 447-5820
100 Michigan St NE
#104
Grand Rapids, MI 49503
Phone (616) 391-3681
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist |
103TC2200X | MI | ||
| Internal Medicine Physician |
207R00000X | MI | Yes | |
| Obstetrics & Gynecology Physician |
207V00000X | MI | ||
| Orthopaedic Surgery Physician |
207X00000X | MI | ||
| Pediatric Adolescent Medicine Physician |
2080A0000X | MI | ||
| Neonatal-Perinatal Medicine Physician |
2080N0001X | MI | ||
| Pediatric Cardiology Physician |
2080P0202X | MI | ||
| Pediatric Critical Care Medicine Physician |
2080P0203X | MI | ||
| Pediatric Endocrinology Physician |
2080P0205X | MI | ||
| Pediatric Gastroenterology Physician |
2080P0206X | MI | ||
| Pediatric Hematology & Oncology Physician |
2080P0207X | MI | ||
| Surgical Critical Care Physician |
2086S0102X | MI | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Mailing address
PO Box 2864
Grand Rapids, MI 49501-2864
Other names
- Corewell Health Medical Group West
Other providers in Grand Rapids, MI
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
All providers in Grand Rapids, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.