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COREWELL HEALTH MEDICAL GROUP WEST
NPI 1669779005
Pediatrics - Neurodevelopmental Disabilities in Zeeland, MI

Active since February 22, 2011
100 PINE ST, SUITE 225, ZEELAND, MI 49464(616) 748-6048 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1669779005) is a healthcare organization registered as a neurodevelopmental disabilities in Zeeland, Michigan and active in the NPI registry since February 2011. The organization lists Polly Krywanski, Svp, Finance, as its authorized official.

NPPES Registry Identity

NPI1669779005
Entity TypeOrganization
Primary Taxonomy2080P0008X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address100 PINE ST, SUITE 225Zeeland, MI 49464-2600
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 486-6795 · Fax (616) 486-6675
Phone(616) 748-6048
Organization SubpartYesParent: Spectrum Health Primary Care Partners
Authorized OfficialPolly KrywanskiSvp, Finance · (616) 486-2253
Enumeration DateFebruary 22, 2011
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1669779005 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 · Interventional CardiologyTaxonomy 207RI0011X
100 PINE ST, Zeeland, MI 49464
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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 2

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

RYAN ONEILL
Student in an Organized Health Care Education/Training Program
100 PINE ST
ZEELAND, MI 49464
Ottawa County (616) 748-6009
SHARI GARCIA CHW
Community Health Worker
100 PINE ST
ZEELAND, MI 49464
Ottawa County (616) 594-6534

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 1669779005. It was assigned to this organization in the NPPES registry on February 22, 2011. 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 100 Pine St Suite 225, Zeeland, MI 49464. The listed phone number is (616) 748-6048.

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 27, 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.