SPECTRUM HEALTH PRIMARY CARE PARTNERS
NPI 1174835102
Surgery - Vascular Surgery in Grand Rapids, MI

NPI Status: Active since July 07, 2010

Contact Information

4085 BURTON ST SE
SUITE 312
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 284-8842

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  • Organization
  • Surgery
  • Vascular Surgery

About SPECTRUM HEALTH PRIMARY CARE PARTNERS

This page provides the complete NPI Profile along with additional information for Spectrum Health Primary Care Partners, a provider established in Grand Rapids, Michigan operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1174835102 assigned on July 2010. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Spectrum Health Primary Care Partners operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Pauline Krywanski (Cfo)

NPI
1174835102
Provider Name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Entity Type
Organization
Location Address
4085 BURTON ST SE SUITE 312 GRAND RAPIDS, MI 49546
Location Phone
(616) 284-8842
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
07-07-2010
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 
22086S0102XAllopathic & Osteopathic Physicians

Surgery
Surgical Critical Care

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAULINE KRYWANSKI

Authorized Official Title
CFO
Authorized Official Phone
(616) 486-2253

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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 1174835102, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 6 + 3 + 1 + 0 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174835102.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Surgery
4085 BURTON ST SE, S-102
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4085 BURTON ST SE, SUITE 102
GRAND RAPIDS, MI 49546
Surgery (Vascular Surgery)
4085 BURTON ST SE
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174835102, enumerated as an "organization" on July 07, 2010.

The provider is located at 4085 BURTON ST SE SUITE 312 GRAND RAPIDS, MI 49546 and the phone number is (616) 284-8842.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.