COREWELL HEALTH MEDICAL GROUP WEST
NPI 1508269705
Internal Medicine - Cardiovascular Disease in Lake Odessa, MI
NPI Status: Active since October 01, 2014
Contact Information
4294 LAUREL DR
LAKE ODESSA, MI
ZIP 48849
Phone: (616) 885-5000
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 23D2324100
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 05-18-2027
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 Lake Odessa, Michigan operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1508269705 assigned on October 2014. The practitioner's primary taxonomy code is 207RC0000X. 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 (Svp Finance)
- NPI
- 1508269705
- 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
- 4294 LAUREL DR LAKE ODESSA, MI 48849
- Location Phone
- (616) 885-5000
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 486-6790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-01-2014
- Last Update Date
- 10-31-2023
- 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 Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine |
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
- 23D2324100
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- May 19, 2025
- Certificate Expiration Date
- May 18, 2027
- Laboratory Director
- FRANCES L. ROSARIO QUINONES
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Corewell Health Medical Group West on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1508269705, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
LAKE ODESSA, MI 48849
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508269705, enumerated as an "organization" on October 01, 2014.
The provider is located at 4294 LAUREL DR LAKE ODESSA, MI 48849 and the phone number is (616) 885-5000.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
