Spectrum Health Primary Care Partners
NPI 1578860912ActiveOrganization· Pediatrics, Neurodevelopmental Disabilities· Grand Rapids, MI
Pediatrics, Neurodevelopmental Disabilities in Grand Rapids, Michigan, registered in NPPES in February 2011, part of Spectrum Health Primary Care Partners. The authorized official on file is Polly Krywanski, Svp, Finance.
Overview
| NPI | 1578860912 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spectrum Health Primary Care Partners |
| NPI issued | Feb 22, 2011 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities Primary | 2080P0008X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
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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