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Spectrum Health Primary Care Partners

Organization Active NPI Pediatrics Physician · Lansing, MI

NPI 1871293522 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1871293522
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Practice address
3220 Discovery Dr
Lansing, MI 48910-8556
Phone
(517) 484-0004
NPI assigned
Mar 9, 2023
Organization subpart
Yes
Parent organization (as reported)
SPECTRUM HEALTH PRIMARY CARE PARTNERS

Authorized official

Name
Ryan Catignani
Title
VP Fincance
Phone
(947) 522-0008

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Spectrum Health Partners (197 organizations share this tax ID)
Part of
Spectrum Health Partners

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

3220 Discovery Dr
Lansing, MI 48910-8556

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names

  • Corewell Health Medical Group West Doing business as
  • Spectrum Health Medical Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2023.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1871293522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 DISCOVERY DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108556",
            "telephone_number": "517-484-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CATIGNANI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VP FINCANCE",
        "authorized_official_telephone_number": "947-522-0008"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Medical Group West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

All providers in Lansing, MI · Pediatrics Physician in Michigan

Sources for this page

Verify at the official NPI Registry.