COREWELL HEALTH MEDICAL GROUP WEST
NPI 1053623074
Family Medicine in Kentwood, MI
NPI Status: Active since July 07, 2010
Contact Information
4600 BRETON RD SE
SUITE 102
KENTWOOD, MI
ZIP 49508
Phone: (616) 391-9700
- Organization
- Family Medicine
- CLIA Number: 23D0701628
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About COREWELL HEALTH MEDICAL GROUP WEST
This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a primary care provider established in Kentwood, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1053623074 assigned on July 2010. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Corewell Health Medical Group West operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Corewell Health Medical Group West. The authorized official of this NPI record is Pauline Krywanski (Cfo)
- NPI
- 1053623074
- Provider Legal Name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Other Organization Name
- COREWELL HEALTH MEDICAL GROUP WEST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4600 BRETON RD SE SUITE 102 KENTWOOD, MI 49508
- Location Phone
- (616) 391-9700
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-07-2010
- Last Update Date
- 10-31-2023
- Code Navigator
A primary care provider (PCP) like Corewell Health Medical Group West sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0701628
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- JOHN SPRAGUE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Corewell Health Medical Group West in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053623074, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
KENTWOOD, MI 49508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053623074, enumerated as an "organization" on July 07, 2010.
The provider is located at 4600 BRETON RD SE SUITE 102 KENTWOOD, MI 49508 and the phone number is (616) 391-9700.
Family Medicine with taxonomy code 207Q00000X.
