1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Preventive Medicine
  6. NPI Profile

SPECTRUM HEALTH MEDICAL GROUP
NPI 1740810563
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Grand Rapids, MI

Active since January 21, 2020
435 IONIA AVE SW, GRAND RAPIDS, MI 49503(616) 486-6790 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Jan 21, 2020 (2 updates tracked since 2020).

About Spectrum Health Medical Group NPPES

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

SPECTRUM HEALTH MEDICAL GROUP (NPI 1740810563) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Grand Rapids, Michigan and active in the NPI registry since January 2020. The organization lists Elisabeth Lacey, Manager, as its authorized official.

NPPES Registry Identity

NPI1740810563
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address435 IONIA AVE SWGrand Rapids, MI 49503-5161
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 486-6790
Organization SubpartYes
Authorized OfficialElisabeth LaceyManager · (616) 486-6630
Enumeration DateJanuary 21, 2020
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1740810563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedFamily MedicineTaxonomy 207Q00000X
435 IONIA AVE SW, Grand Rapids, MI 49503
Open in Google Maps ↗

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

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

KRISTINA RICH NBC-HWC, CPT
Health and Wellness Coach
435 IONIA AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 901-0330

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 1740810563. It was assigned to this organization in the NPPES registry on January 21, 2020. 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 435 Ionia Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 486-6790.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on October 31, 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.