COREWELL HEALTH MEDICAL GROUP WEST
NPI 1578860912
Pediatrics - Neurodevelopmental Disabilities in Grand Rapids, MI

NPI Status: Active since February 22, 2011

Contact Information

700 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 365-2310

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  • Organization
  • Pediatrics
  • Neurodevelopmental Disabilities

About COREWELL HEALTH MEDICAL GROUP WEST

This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a pediatrician established in Grand Rapids, Michigan operating as a Pediatrics, focusing in neurodevelopmental disabilities . The healthcare provider is registered in the NPI registry with number 1578860912 assigned on February 2011. The practitioner's primary taxonomy code is 2080P0008X. 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 Polly Krywanski (Svp, Finance)

NPI
1578860912
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
700 FULLER AVE NE GRAND RAPIDS, MI 49503
Location Phone
(616) 365-2310
Mailing Address
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 486-6795
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-22-2011
Last Update Date
10-31-2023
Code Navigator

A pediatrician like Corewell Health Medical Group West is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Neurodevelopmental Disabilities

Taxonomy Code
2080P0008X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

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)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

POLLY KRYWANSKI

Authorized Official Title
SVP, FINANCE
Authorized Official Phone
(616) 486-2253

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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 1578860912, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 8 → 16 → 7 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 6 + 6 + 0 + 9 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1578860912.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Public Health or Welfare
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578860912, enumerated as an "organization" on February 22, 2011.

The provider is located at 700 FULLER AVE NE GRAND RAPIDS, MI 49503 and the phone number is (616) 365-2310.

Pediatrics with taxonomy code 2080P0008X and a focus in Neurodevelopmental Disabilities.