SPECTRUM HEALTH MEDICAL GROUP
NPI 1215416961
Pediatrics - Pediatric Cardiology in Owosso, MI
NPI Status: Active since August 13, 2018
Contact Information
802 W KING ST
OWOSSO, MI
ZIP 48867
Phone: (517) 484-0004
NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Oct 31, 2023, Feb 26, 2020, Aug 13, 2018 (3 updates tracked since 2018).
- Organization
- Pediatrics
- Pediatric Cardiology
About SPECTRUM HEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Spectrum Health Medical Group, a pediatrician established in Owosso, Michigan operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1215416961 assigned on August 2018. The practitioner's primary taxonomy code is 2080P0202X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Spectrum Health Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Spectrum Health Medical Group. The authorized official of this NPI record is Elisabeth Lacey (Manager)
- NPI
- 1215416961
- Provider Legal Name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Other Organization Name
- SPECTRUM HEALTH MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 802 W KING ST OWOSSO, MI 48867
- Location Phone
- (517) 484-0004
- Mailing Address
- 100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-13-2018
- Last Update Date
- 10-31-2023
- Code Navigator
A pediatrician like Spectrum Health Medical Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207NP0225X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215416961, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215416961, enumerated as an "organization" on August 13, 2018.
The provider is located at 802 W KING ST OWOSSO, MI 48867 and the phone number is (517) 484-0004.
Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.
