Spectrum Health Primary Care Partners
NPI 1669779005ActiveOrganization· Pediatrics, Neurodevelopmental Disabilities· Zeeland, MI
Pediatrics, Neurodevelopmental Disabilities in Zeeland, 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 | 1669779005 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spectrum Health Primary Care Partners |
| NPI issued | Feb 22, 2011 |
| Last updated in NPPES | Oct 27, 2023 |
| Certified by provider | Oct 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities Primary | 2080P0008X | — | — |
| Internal Medicine, Interventional Cardiology | 207RI0011X | — | — |
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 |
|---|