SPECTRUM HEALTH MEDICAL GROUP
NPI 1558776286
Surgery - Vascular Surgery in Holland, 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 June 20, 2014

602 MICHIGAN AVE, HOLLAND, MI 49423(616) 267-8700 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Spectrum Health Medical Group NPPES

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

SPECTRUM HEALTH MEDICAL GROUP (NPI 1558776286) is a healthcare organization registered as a vascular surgery in Holland, Michigan and active in the NPI registry since June 2014. The organization lists Pauline Krywanski, Svp Finance, as its authorized official.

NPPES Registry Identity

NPI1558776286

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address602 MICHIGAN AVEHolland, MI 49423-4918

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-8700

Organization SubpartNo

Authorized OfficialPauline KrywanskiSvp Finance · (616) 486-2253

Enumeration DateJune 20, 2014

Last NPPES UpdateOctober 31, 2023

NPPES CertifiedOctober 31, 2023

✔ NPI 1558776286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedInternal MedicineTaxonomy 207R00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

602 MICHIGAN AVE, Holland, MI 49423

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Other Names 2

Doing Business AsSpectrum Health Medical Group

Doing Business AsCorewell Health Medical Group West

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.

SUSAN BUIST LMSW

Social Worker (Clinical)