NPIMap

Individual provider Active NPI

Amy Naslund Sanborn, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Byron Center, MI
National Provider Identifier
1861752164
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5101019878 Issued in MI
Practice address
7751 Byron Center Ave SW
Suite C
Byron Center, MI 49315-8001
Phone
(616) 267-7668
Fax
(616) 267-7941
NPI assigned
May 21, 2012
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2240372 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5101019878 MI Primary

Addresses

Primary practice location

7751 Byron Center Ave SW
Suite C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address asanborn128136@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904001564 MI Practitioner - Internal Medicine 1456667492 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians
Mecosta County Medical CenterGroup PAC ID 1951215540, 53 clinicians
Pennock HospitalGroup PAC ID 4587551015, shared by 7 NPIs, 79 clinicians
Reed City Hospital CorporationGroup PAC ID 6406740695, 32 clinicians

Practice addresses (Care Compare)

1202 W Oak St
Greenville, MI 48838-2155

1227 W State St
Family Medicine
Belding, MI 48809-9246
Phone (616) 794-0940

14755 215TH Ave
Big Rapids, MI 49307-9224
Phone (231) 796-3200

2776 S State Rd
Corewell Health Pennock Hospital
Ionia, MI 48846-8472
Phone (616) 775-7500

300 N Patterson Rd
Corewell Health Reed City Hospital
Reed City, MI 49677-8041
Phone (231) 832-7170

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

5991 95TH Ave
Evart, MI 49631-9386
Phone (231) 832-8700

605 Oak St
Big Rapids, MI 49307-2048

615 S Bower St
Greenville, MI 48838-2614

78 N Division
Family Medicine
Hesperia, MI 49421-5001
Phone (231) 854-6415

8354 100TH Ave
Suite 1
Canadian Lakes, MI 49346-8345
Phone (231) 972-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L2240372MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Jan 15, 2018 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Feb 1, 2026 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Mecosta County Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Mecosta County Medical Center Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Reed City Hospital Corporation CurrentSince Jan 15, 2018 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Spectrum Health United CurrentSince Jan 15, 2018 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Reed City Hospital Corporation CurrentSince Jan 15, 2018 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Feb 1, 2026 Accepting new patients
Reed City Hospital Corporation Past Accepting new patients
Spectrum Health Hospitals Past Accepting new patients
Spectrum Health Continuing Care PastSince Jun 24, 2019 Accepting new patients
Spectrum Health - Leffingwell Avenue Past Accepting new patients
Spectrum Health United Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

7751 Byron Center Ave SW
Ste C
Byron Center, MI 49315
Phone (616) 267-0357

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • Direct secure messaging: asanborn128136@epic00.corewelldirect.org
  • Direct secure messaging: asanborn128136@epic00.shdirect.org
  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1861752164",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 BYRON CENTER AVE SW",
            "address_2": "SUITE C",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158001",
            "telephone_number": "616-267-7668",
            "fax_number": "616-267-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "AMY",
        "middle_name": "NASLUND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L2240372",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101019878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asanborn128136@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7751 Byron Center Ave SW",
            "address_2": "Suite C",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493158001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7751 Byron Center Ave SW",
            "address_2": "Suite C",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493158001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.