COREWELL HEALTH MEDICAL GROUP WEST
NPI 1265732861
Pediatrics - Adolescent Medicine in Grand Rapids, MI

Q: What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since October 28, 2010

2355 KNAPP ST NE, GRAND RAPIDS, MI 49505(616) 391-2123 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1265732861) is a healthcare organization registered as an adolescent medicine in Grand Rapids, Michigan and active in the NPI registry since October 2010. The organization lists Pauline Krywanski, Svp Finance, as its authorized official.

NPPES Registry Identity

NPI1265732861

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address2355 KNAPP ST NEGrand Rapids, MI 49505-4415

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 391-2123

Organization SubpartYes

Authorized OfficialPauline KrywanskiSvp Finance · (616) 486-2253

Enumeration DateOctober 28, 2010

Last NPPES UpdateOctober 30, 2023

NPPES CertifiedOctober 30, 2023

✔ NPI 1265732861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2355 KNAPP ST NE, Grand Rapids, MI 49505

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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 2

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

TRACI BREITMEYER

Social Worker

2355 KNAPP ST NE
GRAND RAPIDS, MI 49505

Kent County (616) 361-9923

ST JOHNS HOME

Clinic/Center (Rehabilitation, Substance Use Disorder)

2355 KNAPP ST NE
GRAND RAPIDS, MI 49505

Kent County (616) 235-2090

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 1265732861. It was assigned to this organization in the NPPES registry on October 28, 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 2355 Knapp St NE, Grand Rapids, MI 49505. The listed phone number is (616) 391-2123.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on October 30, 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.