COREWELL HEALTH MEDICAL GROUP WEST
NPI 1053623074
Family Medicine in Kentwood, MI

Active since July 07, 2010
4600 BRETON RD SE, SUITE 102, KENTWOOD, MI 49508(616) 391-9700 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corewell Health Medical Group West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREWELL HEALTH MEDICAL GROUP WEST (NPI 1053623074) is a healthcare organization registered as a family medicine in Kentwood, Michigan and active in the NPI registry since July 2010. The organization lists Pauline Krywanski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053623074
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address4600 BRETON RD SE, SUITE 102Kentwood, MI 49508-5262
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialPauline KrywanskiCfo · (616) 486-2253
Enumeration DateJuly 7, 2010
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1053623074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4600 BRETON RD SE, Kentwood, MI 49508

Other Names 1

Doing Business AsCorewell Health Medical Group West

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4600 BRETON RD SE, SUITE 103
KENTWOOD, MI 49508
Family Medicine
4600 BRETON RD SE, STE 102
KENTWOOD, MI 49508
Physician Assistant
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Pediatrics
4600 BRETON RD SE, SUITE 103
KENTWOOD, MI 49508
Family Medicine
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Family Medicine
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Nurse Practitioner
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Pediatrics
4600 BRETON RD SE, SUITE 103
KENTWOOD, MI 49508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum Health Primary Care Partners's NPI number?

The NPI number for Spectrum Health Primary Care Partners is 1053623074. It was assigned to this organization in the NPPES registry on July 7, 2010. The provider is doing business as Corewell Health Medical Group West.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 4600 Breton Rd SE Suite 102, Kentwood, MI 49508. The listed phone number is (616) 391-9700.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.