COREWELL HEALTH MEDICAL GROUP WEST
NPI 1497065536
Pediatrics in Grand Rapids, MI

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 07, 2010

426 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503(616) 267-7888 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, Jan 23, 2017 (2 updates tracked since 2017).

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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 1497065536) is a healthcare organization registered as a pediatrics in Grand Rapids, Michigan and active in the NPI registry since October 2010. The organization lists Leisa Kimbrough, Senior Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1497065536

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address426 MICHIGAN ST NE, SUITE 102Grand Rapids, MI 49503-5609

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 267-7888

Organization SubpartYes

Authorized OfficialLeisa KimbroughSenior Director Revenue Cycle · (616) 486-6579

Enumeration DateOctober 7, 2010

Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1497065536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

426 MICHIGAN ST NE, Grand Rapids, MI 49503

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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.

DR. NICHOLAS ALEXANDER STEPHANOFF M.D.

Family Medicine

426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 267-7888

RITA DEKKER

Nurse Practitioner

426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-2778

JENNIFER MARIE SHANLEY CNM

Advanced Practice Midwife

426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-3302

MICHIGAN STREET OPTICAL

Durable Medical Equipment & Medical Supplies

426 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503

Kent County (616) 459-1844

AMY COX MD

Family Medicine

426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 267-7888

TAMI JOY MICHELE DO

Obstetrics & Gynecology

426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-3302

MARGUERITE B SOWERS PA-C

Physician Assistant (Medical)

426 MICHIGAN ST NE, SUITE 201
GRAND RAPIDS, MI 49503

Kent County (616) 459-8209

MOLLY JANE TIESENGA APRN

Nurse Practitioner (Adult Health)

426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 267-8338

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 1497065536. It was assigned to this organization in the NPPES registry on October 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 426 Michigan St NE Suite 102, Grand Rapids, MI 49503. The listed phone number is (616) 267-7888.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.