COREWELL HEALTH MEDICAL GROUP WEST
NPI 1265732861
Pediatrics - Adolescent Medicine in Grand Rapids, MI
NPI Status: Active since October 28, 2010
Contact Information
2355 KNAPP ST NE
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 391-2123
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 23D1089431
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-16-2026
About COREWELL HEALTH MEDICAL GROUP WEST
This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a pediatrician established in Grand Rapids, Michigan operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1265732861 assigned on October 2010. The practitioner's primary taxonomy code is 2080A0000X. 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 (Svp Finance)
- NPI
- 1265732861
- 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
- 2355 KNAPP ST NE GRAND RAPIDS, MI 49505
- Location Phone
- (616) 391-2123
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-28-2010
- Last Update Date
- 10-30-2023
- Code Navigator
A pediatrician like Corewell Health Medical Group West is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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
- 23D1089431
- Facility Type
- Physician Office
- Certificate Effective Date
- September 17, 2024
- Certificate Expiration Date
- September 16, 2026
- Laboratory Director
- LISA M. LOWERY
- 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 1265732861, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265732861, enumerated as an "organization" on October 28, 2010.
The provider is located at 2355 KNAPP ST NE GRAND RAPIDS, MI 49505 and the phone number is (616) 391-2123.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
