COREWELL HEALTH MEDICAL GROUP WEST
NPI 1417266685
Internal Medicine - Cardiovascular Disease in Grand Rapids, MI

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since October 05, 2010

2902 BRADFORD ST NE, GRAND RAPIDS, MI 49525(616) 885-5200 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2023, Sep 9, 2021 (2 updates tracked since 2021).

On this page

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 1417266685) is a healthcare organization registered as a cardiovascular disease in Grand Rapids, Michigan and active in the NPI registry since October 2010. The organization lists Pauline Krywanski, Svp, as its authorized official.

NPPES Registry Identity

NPI1417266685

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address2902 BRADFORD ST NEGrand Rapids, MI 49525-6427

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

Phone(616) 885-5200

Organization SubpartYes

Authorized OfficialPauline KrywanskiSvp · (616) 486-2253

Enumeration DateOctober 5, 2010

Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1417266685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X

2902 BRADFORD ST NE, Grand Rapids, MI 49525

Open in Google Maps ↗

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 17

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

SANGJIN LEE MD, MSC

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)