COREWELL HEALTH MEDICAL GROUP WEST
NPI 1336451350
Internal Medicine in Grandville, MI
NPI Status: Active since July 07, 2010
Contact Information
3185 MACATAWA DR SW
SUITE A
GRANDVILLE, MI
ZIP 49418
Phone: (616) 391-4500
- Organization
- Internal Medicine
- CLIA Number: 23D1068822
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-20-2027
About COREWELL HEALTH MEDICAL GROUP WEST
This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, an internist established in Grandville, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1336451350 assigned on July 2010. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Corewell Health Medical Group West operates as a multi-specialty business group with one or more individual providers 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
- 1336451350
- 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
- 3185 MACATAWA DR SW SUITE A GRANDVILLE, MI 49418
- Location Phone
- (616) 391-4500
- 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
- 10-30-2023
- Code Navigator
An internist like Corewell Health Medical Group West is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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) |
|---|---|---|---|---|
| 1 | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
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
- 23D1068822
- Facility Type
- Physician Office
- Certificate Effective Date
- May 21, 2025
- Certificate Expiration Date
- May 20, 2027
- Laboratory Director
- ERIC J. WIELHOUWER
- 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 4 | 5 | 1 | 3 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 5 | 2 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 5 + 2 + 3 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336451350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MRS. ERIN NICOLE JERABEK-GIBSON PA-C
Physician Assistant
3185 MACATAWA DR SW
SUITE B
GRANDVILLE, MI
ZIP 49418
BENJAMIN RUSSELL SCHIPPER MD
Internal Medicine
3185 MACATAWA DR SW
SUITE A
GRANDVILLE, MI
ZIP 49418
ERIC JAMES WIELHOUWER D.O.
Internal Medicine
3185 MACATAWA DR SW
SUITE A
GRANDVILLE, MI
ZIP 49418
KATHERINE MARIE BUSSONE PA-C
Physician Assistant
3185 MACATAWA DR SW
SUITE A
GRANDVILLE, MI
ZIP 49418
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336451350, enumerated as an "organization" on July 07, 2010.
The provider is located at 3185 MACATAWA DR SW SUITE A GRANDVILLE, MI 49418 and the phone number is (616) 391-4500.
Internal Medicine with taxonomy code 207R00000X.
