SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA
NPI 1861912537
Family Medicine in Caledonia, MI

Active since June 23, 2017
9090 S RODGERS CT SE STE A, CALEDONIA, MI 49316(616) 891-0422(616) 891-0416 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, Jun 23, 2017 (2 updates tracked since 2017).

About Spectrum Health Medical Group Family Medicine - Caledonia NPPES

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

SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA (NPI 1861912537) is a healthcare organization registered as a family medicine in Caledonia, Michigan and active in the NPI registry since June 2017. The organization lists David Ottenbaker, Associate Chief Medical Officer - R, as its authorized official.

NPPES Registry Identity

NPI1861912537
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address9090 S RODGERS CT SE STE ACaledonia, MI 49316-8052
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702
Fax(616) 891-0416
Organization SubpartYes
Authorized OfficialDavid OttenbakerAssociate Chief Medical Officer - R · (616) 486-6686
Enumeration DateJune 23, 2017
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1861912537 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 ListedNurse PractitionerTaxonomy 363L00000X
9090 S RODGERS CT SE STE A, Caledonia, MI 49316

Other Names 1

Doing Business AsSpectrum Health Medical Group Family Medicine - Caledonia

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 10

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

Physician Assistant
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Family Medicine
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Physician Assistant
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Family Medicine
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Nurse Practitioner (Family)
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Nurse Practitioner (Family)
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Nurse Practitioner (Family)
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316
Nurse Practitioner
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316

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 1861912537. It was assigned to this organization in the NPPES registry on June 23, 2017. The provider is doing business as Spectrum Health Medical Group Family Medicine - Caledonia.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 9090 S Rodgers Ct SE Ste A, Caledonia, MI 49316. The listed phone number is (616) 891-0422.

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 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.