COREWELL HEALTH MEDICAL GROUP WEST
NPI 1649680224
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Traverse City, MI
NPI Status: Active since May 05, 2014
Contact Information
3537 W FRONT ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (616) 267-2100
- Organization
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- CLIA Number: 23D0988590
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-20-2026
About COREWELL HEALTH MEDICAL GROUP WEST
This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a provider established in Traverse City, Michigan operating as a Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1649680224 assigned on May 2014. The practitioner's primary taxonomy code is 207XP3100X. 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 M Krywanski (Svp Finance)
- NPI
- 1649680224
- 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
- 3537 W FRONT ST TRAVERSE CITY, MI 49684
- Location Phone
- (616) 267-2100
- 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
- 05-05-2014
- Last Update Date
- 10-31-2023
- Code Navigator
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
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
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 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 2 | 2080P0206X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 3 | 2080P0210X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 5 | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
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
- 23D0988590
- Facility Type
- Physician Office
- Certificate Effective Date
- April 21, 2024
- Certificate Expiration Date
- April 20, 2026
- Laboratory Director
- DEBORAH L. CLONEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Corewell Health Medical Group West to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1649680224, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649680224, enumerated as an "organization" on May 05, 2014.
The provider is located at 3537 W FRONT ST TRAVERSE CITY, MI 49684 and the phone number is (616) 267-2100.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
