COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS – NPI #1720397441
Family Medicine

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Health Care Provider Taxonomy Code for Family Medicine

COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS is a provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1720397441 to COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS on September 29, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS” is a dba name, the actual legal business name for this organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QB0002X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Obesity Medicine

The NPI profile was previously updated about 3 years ago on Oct 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS below.

NPI Profile for
SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI Number
1720397441
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Doing Business As (dba): COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS
Primary location
4100 LAKE DR SE
SUITE B01
GRAND RAPIDS, MI 49546-8292
Phone: (616) 974-4400 Fax:
Mailing address
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Organization Subpart
Yes - COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS is subpart of another organization.
Authorized Official
PAULINE KRYWANSKI
SVP
Phone: (616) 486-2253
Updated
Certification Date
Oct 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QB0002X
- Family Medicine / Obesity Medicine (Primary)
208600000X
- Surgery
133V00000X
- Dietitian, Registered

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.