SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA – NPI #1861912537
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA is a provider located in CALEDONIA, MI. NPPES has assigned the NPI number 1861912537 to SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA on June 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA” is a dba name, the actual legal business name for this organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Oct 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA below.

NPI Profile for
SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI Number
1861912537
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Doing Business As (dba): SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA
Other name(s)
All associated names:
Doing Business As (dba)
Corewell Health Medical Group West
Doing Business As (dba)
Spectrum Health Medical Group Family Medicine - Caledonia
Primary location
9090 S RODGERS CT SE STE A
CALEDONIA, MI 49316-8052
Phone: (616) 891-0422 Fax: (616) 891-0416
Mailing address
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone: (616) 486-6790 Fax: (616) 486-6702
Organization Subpart
Yes - SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA is subpart of another organization.
Authorized Official
DAVID OTTENBAKER
ASSOCIATE CHIEF MEDICAL OFFICER - R
Phone: (616) 486-6686
Updated
Certification Date
Oct 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.