Spectrum Health United
NPI 1063781342ActiveOrganization· Family Medicine· Greenville, MI
Family Medicine in Greenville, Michigan, registered in NPPES in December 2011, part of Spectrum Health United. The authorized official on file is Ryan K. Johnson, Vp, Provider Services.
Overview
| NPI | 1063781342 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spectrum Health United |
| NPI issued | Dec 15, 2011 |
| Last updated in NPPES | Aug 24, 2023 |
| Certified by provider | Aug 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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