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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1235188673


NPI Information

NPI: 1235188673
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D2281993

Address:
1840 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 486-6793
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is an internal medicine in Grand Rapids, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1235188673. 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:

1840 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49506-921
Phone: (616) 486-6793

The provider's authorized official is Ryan Catignani .
The authorized official title is Vp Finance and has the following contact phone number (947) 522-0008.

The CLIA number assigned to this NPI record is 23D2281993 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 10/26/2023.


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
1103TC2200XPsychologistClinical Child & AdolescentMICHIGANNo
2207V00000XObstetrics & GynecologyMICHIGANNo
3207X00000XOrthopaedic SurgeryMICHIGANNo
42080A0000XPediatricsAdolescent MedicineMICHIGANNo
52080N0001XPediatricsNeonatal-Perinatal MedicineMICHIGANNo
62080P0202XPediatricsPediatric CardiologyMICHIGANNo
72080P0203XPediatricsPediatric Critical Care MedicineMICHIGANNo
82080P0205XPediatricsPediatric EndocrinologyMICHIGANNo
92080P0206XPediatricsPediatric GastroenterologyMICHIGANNo
102080P0207XPediatricsPediatric Hematology-OncologyMICHIGANNo
112086S0102XSurgerySurgical Critical CareMICHIGANNo
12261QR0200XClinic/CenterRadiologyNo
13207R00000XInternal MedicineMICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.