COREWELL HEALTH MEDICAL GROUP WEST – NPI #1578839338
Orthopaedic Surgery

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

COREWELL HEALTH MEDICAL GROUP WEST is an orthopaedic surgeon located in LANSING, MI. NPPES has assigned the NPI number 1578839338 to COREWELL HEALTH MEDICAL GROUP WEST on March 27, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COREWELL HEALTH MEDICAL GROUP WEST” is a dba name, the actual legal business name for this organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS. The primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery

The NPI profile was previously updated about 3 years ago on Oct 30, 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 below.

NPI Profile for
SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI Number
1578839338
Enumeration Date

(more than 14 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
Primary location
2815 S PENNSYLVANIA AVE
SUITE 204
LANSING, MI 48910-3495
Phone: (616) 267-2600 Fax: (616) 267-2601
Mailing address
35 MICHIGAN ST NE
SUITE 4150
GRAND RAPIDS, MI 49503-2514
Phone: Fax:
Organization Subpart
Yes - COREWELL HEALTH MEDICAL GROUP WEST is subpart of another organization.
Authorized Official
POLLY KRYWANSKI
SVP, FINANCE
Phone: (616) 486-2253
Updated
Certification Date
Oct 30, 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
207XP3100X
- Orthopaedic Surgery / Pediatric Orthopaedic Surgery (Primary)

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.