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

NPI Status: Active since October 05, 2010

Contact Information

4069 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 486-2860

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  • Organization
  • Urology

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 Grand Rapids, Michigan operating as a Urology. The healthcare provider is registered in the NPI registry with number 1699084871 assigned on October 2010. The practitioner's primary taxonomy code is 208800000X. 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 Krywanski (Cfo)

NPI
1699084871
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
4069 LAKE DR SE GRAND RAPIDS, MI 49546
Location Phone
(616) 486-2860
Mailing Address
100 MICHIGAN ST NE MC845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-05-2010
Last Update Date
10-31-2023
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
4207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
6207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
7208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
8208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
9208600000XAllopathic & Osteopathic Physicians

Surgery

 

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

PAULINE KRYWANSKI

Authorized Official Title
CFO
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 1699084871, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 9 → 18 → 9 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 0 + 8 + 8 + 8 + 1 + 4 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1699084871.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
4069 LAKE DR SE, S-313
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Optometrist
4069 LAKE DR SE, S-315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE, SUITE 312
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Surgery
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 313
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315D
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, STE. 114
GRAND RAPIDS, MI 49546
Ophthalmology
4069 LAKE DR SE, SUITE 315 D
GRAND RAPIDS, MI 49546
Podiatrist
4069 LAKE DR SE, SUITE 315 B
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Optometrist
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Technician/Technologist (Optician)
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, SUITE 114
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699084871, enumerated as an "organization" on October 05, 2010.

The provider is located at 4069 LAKE DR SE GRAND RAPIDS, MI 49546 and the phone number is (616) 486-2860.

Urology with taxonomy code 208800000X.