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

Spectrum Health Primary Care Partners

Organization Family Medicine Physician · NPI 1861912537

Spectrum Health Primary Care Partners is a Family Medicine Physician in Caledonia, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

9090 S Rodgers Ct SE Ste A
Caledonia, MI 49316-8052
Phone: (616) 891-0422
Fax: (616) 891-0416
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1861912537
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official David Ottenbaker — Associate Chief Medical Officer - R · (616) 486-6686
Other names Corewell Health Medical Group West; Spectrum Health Medical Group Family Medicine - Caledonia; Spectrum Health Medical Group Family Medicine - Caledonia
NPI enumeratedJune 23, 2017
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Other providers in Caledonia