COREWELL HEALTH MEDICAL GROUP WEST
NPI 1699084871
Urology in Grand Rapids, MI

Q: What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since October 05, 2010

4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 486-2860 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1699084871) is a healthcare organization registered as an urology in Grand Rapids, Michigan and active in the NPI registry since October 2010. The organization lists Pauline Krywanski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1699084871

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 486-2860

Organization SubpartYes

Authorized OfficialPauline KrywanskiCfo · (616) 486-2253

Enumeration DateOctober 5, 2010

Last NPPES UpdateOctober 31, 2023

NPPES CertifiedOctober 31, 2023

✔ NPI 1699084871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedSurgeryTaxonomy 208600000X

4069 LAKE DR SE, Grand Rapids, MI 49546

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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 20

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

TABETHA EMILY BERGERON PA-C

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

ROBERT CUFF MD

Surgery (Vascular Surgery)

4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546

Kent County (616) 267-8700

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Durable Medical Equipment & Medical Supplies

4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546

Kent County (616) 464-2860

SARAH L PARKER NP

Nurse Practitioner (Family)

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Dietitian, Registered

4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

SAVANNAH DAWN MOLNER PA

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Family Medicine

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7105

AMELIA JOY ASHCRAFT PA-C

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

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 1699084871. It was assigned to this organization in the NPPES registry on October 5, 2010. 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 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 486-2860.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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 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.