SPECTRUM HEALTH MEDICAL GROUP – NPI #1326599671
Pediatrics

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

SPECTRUM HEALTH MEDICAL GROUP is a provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1326599671 to SPECTRUM HEALTH MEDICAL GROUP on October 21, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECTRUM HEALTH MEDICAL GROUP” 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 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was previously updated about 3 years ago on Oct 26, 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 below.

NPI Profile for
SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI Number
1326599671
Enumeration Date

(more than 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
Other name(s)
All associated names:
Doing Business As (dba)
Corewell Health Medical Group West Pediatric Diabetes Education
Doing Business As (dba)
Spectrum Health Medical Group
Primary location
35 MICHIGAN ST NE STE 1800
GRAND RAPIDS, MI 49503-2568
Phone: (616) 391-3933 Fax:
Mailing address
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Organization Subpart
Yes - SPECTRUM HEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
RYAN CATIGNANI
VP FINANCE
Phone: (947) 522-0008
Updated
Certification Date
Oct 26, 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
2080P0205X
- Pediatrics / Pediatric Endocrinology (Primary)
133V00000X
- Dietitian, Registered

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.