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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1720397441


NPI Information

NPI: 1720397441
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS
Classification: Family Medicine - 207QB0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
4100 LAKE DR SE
SUITE B01
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 974-4400
Get Directions

SPECTRUM HEALTH PRIMARY CARE PARTNERS is an obesity medicine family medicine in Grand Rapids, MI. The provider is a physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1720397441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4100 LAKE DR SE
SUITE B01
GRAND RAPIDS, MI
ZIP 49546-292
Phone: (616) 974-4400

The provider's authorized official is Pauline Krywanski .
The authorized official title is Svp and has the following contact phone number (616) 486-2253.

The enumeration date for this NPI number is 9/29/2010 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredNo
2208600000XSurgeryNo
3207QB0002XFamily MedicineObesity MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10M74460MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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