Spectrum Health Primary Care Partners
NPI 1174835102ActiveOrganization· Surgery, Vascular Surgery· Grand Rapids, MI
Surgery, Vascular Surgery in Grand Rapids, Michigan, registered in NPPES in July 2010, part of Spectrum Health Primary Care Partners. The authorized official on file is Pauline Krywanski, Cfo.
Overview
| NPI | 1174835102 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spectrum Health Primary Care Partners |
| NPI issued | Jul 7, 2010 |
| Last updated in NPPES | Jul 7, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Surgery | 208600000X | — | — |
| Surgery, Surgical Critical Care | 2086S0102X | — | — |
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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