SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1356653380

NPI Information

NPI: 1356653380
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4069 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 267-8700
Get Directions

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a vascular surgery surgery in Grand Rapids, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1356653380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corewell Health Medical Group West.

The provider's business location address is:

4069 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49546-816
Phone: (616) 267-8700

The provider's authorized official is Adrienne Bryan .
The authorized official title is Director and has the following contact phone number (616) 643-9123.

The enumeration date for this NPI number is 7/7/2010 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207K00000X	Allergy & Immunology		No
2	207R00000X	Internal Medicine		No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
4	208C00000X	Colon & Rectal Surgery		No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	208600000X	Surgery		No
7	231H00000X	Audiologist		No
8	237600000X	Audiologist-Hearing Aid Fitter		No
9	2086S0129X	Surgery	Vascular Surgery	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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