COREWELL HEALTH MEDICAL GROUP WEST
NPI 1356653380
Surgery - Vascular Surgery in Grand Rapids, MI

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since July 07, 2010

4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-8700 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Jul 31, 2020 (2 updates tracked since 2020).

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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 1356653380) is a healthcare organization registered as a vascular surgery in Grand Rapids, Michigan and active in the NPI registry since July 2010. The organization lists Adrienne Bryan, Director, as its authorized official.

NPPES Registry Identity

NPI1356653380

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-8700

Organization SubpartYes

Authorized OfficialAdrienne BryanDirector · (616) 643-9123

Enumeration DateJuly 7, 2010

Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1356653380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedSurgeryTaxonomy 208600000X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedAudiologistTaxonomy 231H00000X

Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X

4069 LAKE DR SE, Grand Rapids, MI 49546

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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 20

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

TABETHA EMILY BERGERON PA-C

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

ROBERT CUFF MD

Surgery (Vascular Surgery)

4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546

Kent County (616) 267-8700

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Durable Medical Equipment & Medical Supplies

4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546

Kent County (616) 464-2860

SARAH L PARKER NP

Nurse Practitioner (Family)

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Dietitian, Registered

4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

SAVANNAH DAWN MOLNER PA

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Family Medicine

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7105

AMELIA JOY ASHCRAFT PA-C

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

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 1356653380. It was assigned to this organization in the NPPES registry on July 7, 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 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-8700.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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 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.