COREWELL HEALTH MEDICAL GROUP WEST – NPI #1043529225
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

COREWELL HEALTH MEDICAL GROUP WEST is a provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1043529225 to COREWELL HEALTH MEDICAL GROUP WEST on October 05, 2010. 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. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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
1043529225
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
Primary location
1545 68TH ST SE
GRAND RAPIDS, MI 49508-7896
Phone: (616) 534-9881 Fax:
Mailing address
100 MICHIGAN ST NE
MC845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Organization Subpart
Yes - COREWELL HEALTH MEDICAL GROUP WEST is subpart of another organization.
Authorized Official
PAULINE KRYWANSKI
CFO
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
208000000X
- Pediatrics (Primary)
207RP1001X
- Internal Medicine / Pulmonary Disease
207R00000X
- Internal Medicine

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.