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

Active since February 22, 2011
700 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 365-2310 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1578860912) is a healthcare organization registered as a neurodevelopmental disabilities in Grand Rapids, Michigan and active in the NPI registry since February 2011. The organization lists Polly Krywanski, Svp, Finance, as its authorized official.

NPPES Registry Identity

NPI1578860912
Entity TypeOrganization
Primary Taxonomy2080P0008X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address700 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 486-6795
Phone(616) 365-2310
Organization SubpartYes
Authorized OfficialPolly KrywanskiSvp, Finance · (616) 486-2253
Enumeration DateFebruary 22, 2011
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1578860912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
Definition

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.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
700 FULLER AVE 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 8

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

COUNTY OF KENT
Public Health or Welfare
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 632-7120
RONNISE MARIE EUBANKS-CHAMBLISS CHW
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 591-8657
CLAUDINE MUJAWAMALIYA
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 306-0628
KURTRICE SHARLYNN MANSARAY CHW
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 306-0794
ESPERANZA ANTUN-CHAVEZ
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 901-5950
FLORENCE NDAYISENGA
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 591-4934
KIM ROSE ZIBBELL BS, CHW, LS
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 690-1975
DINAH PEREZ
Community Health Worker
700 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 632-7200

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 1578860912. It was assigned to this organization in the NPPES registry on February 22, 2011.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 700 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 365-2310.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

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 with the weekly NPPES data releases published by CMS.