COREWELL HEALTH MEDICAL GROUP WEST
NPI 1336450907
Family Medicine in Allendale, MI

NPI Status: Active since June 29, 2010

Contact Information

4868 LAKE MICHIGAN DR
ALLENDALE, MI
ZIP 49401
Phone: (616) 391-2800

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  • Organization
  • Family Medicine
  • CLIA Number: 23D0379146
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-30-2025

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 Allendale, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336450907 assigned on June 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
1336450907
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
4868 LAKE MICHIGAN DR ALLENDALE, MI 49401
Location Phone
(616) 391-2800
Mailing Address
100 MICHIGAN ST NE MC845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-29-2010
Last Update Date
10-31-2023
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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.

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

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
23D0379146
Facility Type
Physician Office
Certificate Effective Date
December 01, 2023
Certificate Expiration Date
November 30, 2025
Laboratory Director
MICHELLE GIANTURCO
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 1336450907, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 3 → 6 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 8 + 5 + 0 + 9 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1336450907.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dentist (General Practice)
4868 LAKE MICHIGAN DR, SUITE A
ALLENDALE, MI 49401
Radiology (Body Imaging)
4868 LAKE MICHIGAN DR, SUITE B
ALLENDALE, MI 49401
Dentist (General Practice)
4868 LAKE MICHIGAN DR, SUITE A
ALLENDALE, MI 49401
Audiologist-Hearing Aid Fitter
4868 LAKE MICHIGAN DR, STE A
ALLENDALE, MI 49401
Physical Therapist (Orthopedic)
4868 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Physical Therapist
4868 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Family Medicine
4868 LAKE MICHIGAN DR, # 2
ALLENDALE, MI 49401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336450907, enumerated as an "organization" on June 29, 2010.

The provider is located at 4868 LAKE MICHIGAN DR ALLENDALE, MI 49401 and the phone number is (616) 391-2800.

Family Medicine with taxonomy code 207Q00000X.