COREWELL HEALTH MEDICAL GROUP WEST – NPI #1396024683
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Health Care Provider Taxonomy Code for Pediatrics

COREWELL HEALTH MEDICAL GROUP WEST is a provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1396024683 to COREWELL HEALTH MEDICAL GROUP WEST on August 04, 2011. 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 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Oct 31, 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
1396024683
Enumeration Date

(about 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
35 MICHIGAN NE
GRAND RAPIDS, MI 49503
Phone: (616) 267-2400 Fax:
Mailing address
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Organization Subpart
Yes - COREWELL HEALTH MEDICAL GROUP WEST is subpart of another organization.
Authorized Official
BRADLEY SHER
DIRECTOR OF PAYER RELATIONS/REIMBUR
Phone: (616) 486-6705
Updated
Certification Date
Oct 31, 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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
2080S0012X
- Pediatrics / Sleep Medicine
2080P0216X
- Pediatrics / Pediatric Rheumatology
2080P0214X
- Pediatrics / Pediatric Pulmonology
2080P0210X
- Pediatrics / Pediatric Nephrology
2080P0208X
- Pediatrics / Pediatric Infectious Diseases
2080P0006X
- Pediatrics / Developmental - Behavioral Pediatrics
207XP3100X
- Orthopaedic Surgery / Pediatric Orthopaedic Surgery
103TC2200X
- Psychologist / Clinical Child & Adolescent
103TB0200X
- Psychologist / Cognitive & Behavioral

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.