OrganizationActive
Spectrum Health Primary Care Partners
NPI 1922582196 · Pediatric Neurodevelopmental Disabilities Physician · Grand Rapids, MI
Provider details
- NPI number
- 1922582196
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Primary Care Partners
- Organization subpart
- Yes
- Authorized official
- Ryan Catignani, Vp Finance(947) 522-0008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
360 Lafayette Ave Se Ste 400
Grand Rapids, MI 49503-4677
Phone: (616) 486-6870
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Other names (DBA / former)
- Doing business as
- Corewell Health Medical Group West Intensive Feeding
- Doing business as
- Spectrum Health Medical Group
- Doing business as
- Spectrum Health Medical Group
Registry dates
- Enumerated
- 2018-09-24
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.