COREWELL HEALTH MEDICAL GROUP WEST
NPI 1336422948
Internal Medicine - Addiction Medicine in Grand Rapids, MI

Active since September 21, 2011
75 SHELDON AVE SE, GRAND RAPIDS, MI 49503(616) 391-6120 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Mar 9, 2022 (2 updates tracked since 2022).

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 1336422948) is a healthcare organization registered as an addiction medicine in Grand Rapids, Michigan and active in the NPI registry since September 2011. The organization lists Leslie Flake, Svp Finance, as its authorized official.

NPPES Registry Identity

NPI1336422948
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address75 SHELDON AVE SEGrand Rapids, MI 49503-4224
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialLeslie FlakeSvp Finance · (616) 391-2525
Enumeration DateSeptember 21, 2011
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1336422948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
75 SHELDON AVE SE, Grand Rapids, MI 49503

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

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

Pharmacist
75 SHELDON AVE SE
GRAND RAPIDS, MI 49503

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 1336422948. It was assigned to this organization in the NPPES registry on September 21, 2011. 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 75 Sheldon Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 391-6120.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

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 with the weekly NPPES data releases published by CMS.