SPECTRUM HEALTH PRIMARY CARE PARTNERS
NPI 1174835102
Surgery - Vascular Surgery in Grand Rapids, MI

Q: What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since July 07, 2010

4085 BURTON ST SE, SUITE 312, GRAND RAPIDS, MI 49546(616) 284-8842 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spectrum Health Primary Care Partners NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI 1174835102) is a healthcare organization registered as a vascular surgery in Grand Rapids, Michigan and active in the NPI registry since July 2010. The organization lists Pauline Krywanski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174835102

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4085 BURTON ST SE, SUITE 312Grand Rapids, MI 49546-2444

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 284-8842

Organization SubpartYes

Authorized OfficialPauline KrywanskiCfo · (616) 486-2253

Enumeration DateJuly 7, 2010

✔ NPI 1174835102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X

4085 BURTON ST SE, Grand Rapids, MI 49546

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN MEDICAL PATIENT CARE

Durable Medical Equipment & Medical Supplies

4085 BURTON ST SE, SUITE 102
GRAND RAPIDS, MI 49546

Kent County (616) 284-8888

MICHIGAN MEDICAL PATIENT CARE

Surgery (Vascular Surgery)

4085 BURTON ST SE
GRAND RAPIDS, MI 49546

Kent County (616) 284-8888

LEWIS DEKRYGER MD

Surgery

4085 BURTON ST SE, S-102
GRAND RAPIDS, MI 49546

Kent County (616) 284-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum Health Primary Care Partners's NPI number?

The NPI number for Spectrum Health Primary Care Partners is 1174835102. It was assigned to this organization in the NPPES registry on July 7, 2010.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 4085 Burton St SE Suite 312, Grand Rapids, MI 49546. The listed phone number is (616) 284-8842.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.