Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spectrum Health Hospitals

Organization Internal Medicine Physician · NPI 1558407189

Spectrum Health Hospitals is an Internal Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
15

Practice location Address checks out

100 Michigan St NE MC-907
Grand Rapids, MI 49503-2560
Phone: (616) 774-7377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X (MI)
Internal Medicine Physician Taxonomy 207R00000X (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (MI)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X (MI)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X (MI)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X (MI)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X (MI)
Pediatric Cardiology Physician Taxonomy 2080P0202X (MI)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X (MI)
Pediatric Endocrinology Physician Taxonomy 2080P0205X (MI)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X (MI)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X (MI)
Pediatric Infectious Diseases Physician Taxonomy 2080P0208X (MI)
Surgical Critical Care Physician Taxonomy 2086S0102X (MI)

Record details

NPI number1558407189
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Hospitals
Authorized official Elisabeth Lacey — Manager · (616) 486-6790
Other names Corewell Health Grand Rapids Hospitals; Corewell Health Grand Rapids Hospitals Professional; Corewell Health Grand Rapids Hospitals Professional
NPI enumeratedJanuary 30, 2007
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing addressPo Box 2127, Grand Rapids, MI 49501-2127

Other providers in Grand Rapids