SPECTRUM HEALTH PRIMARY CARE PARTNERS
NPI 1386959856
Podiatrist - Foot & Ankle Surgery in Grand Rapids, MI

Active since August 09, 2010
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI 49546(616) 464-2810 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1386959856) is a healthcare organization registered as a foot & ankle surgery in Grand Rapids, Michigan and active in the NPI registry since August 2010. The organization lists Pauline Krywanski, Svp, as its authorized official.

NPPES Registry Identity

NPI1386959856
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address4069 LAKE DR SE, SUITE 315Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialPauline KrywanskiSvp · (616) 486-2253
Enumeration DateAugust 9, 2010
Last NPPES UpdateDecember 2, 2010
NPI 1386959856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
4069 LAKE DR SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicare PIN0M74460MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Surgery (Vascular Surgery)
4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Dietitian, Registered
4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Family Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546

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 1386959856. It was assigned to this organization in the NPPES registry on August 9, 2010.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 4069 Lake Dr SE Suite 315, Grand Rapids, MI 49546. The listed phone number is (616) 464-2810.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.