SPECTRUM HEALTH MEDICAL GROUP
NPI 1457096638
Family Medicine in Grand Rapids, MI

Active since May 02, 2022
4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-7469 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, May 2, 2022 (2 updates tracked since 2022).

About Spectrum Health Medical Group NPPES

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

SPECTRUM HEALTH MEDICAL GROUP (NPI 1457096638) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since May 2022. The organization lists Leslie Flake, Svp Finance, as its authorized official.

NPPES Registry Identity

NPI1457096638
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialLeslie FlakeSvp Finance · (616) 391-2525
Enumeration DateMay 2, 2022
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1457096638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
4069 LAKE DR SE, Grand Rapids, MI 49546

Other Names 1

Doing Business AsSpectrum Health Medical Group

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 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 1457096638. It was assigned to this organization in the NPPES registry on May 2, 2022. The provider is doing business as Spectrum Health Medical Group.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7469.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.