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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1396024683


NPI Information

NPI: 1396024683
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

CLIA Number: 23D2163589

Address:
35 MICHIGAN NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-2400
Get Directions

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a pediatric gastroenterology pediatrics in Grand Rapids, MI. The provider is 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. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1396024683. 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:

35 MICHIGAN NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-2400

The provider's authorized official is Bradley L Sher .
The authorized official title is Director Of Payer Relations/reimbur and has the following contact phone number (616) 486-6705.

The CLIA number assigned to this NPI record is 23D2163589 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/4/2011 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
22080P0208XPediatricsPediatric Infectious DiseasesNo
32080P0216XPediatricsPediatric RheumatologyNo
42080S0012XPediatricsSleep MedicineNo
52080P0210XPediatricsPediatric NephrologyNo
62080P0214XPediatricsPediatric PulmonologyNo
7103TB0200XPsychologistCognitive & BehavioralNo
8103TC2200XPsychologistClinical Child & AdolescentNo
9207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
102080P0206XPediatricsPediatric GastroenterologyYes

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

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