COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS
NPI 1720397441
Family Medicine - Obesity Medicine in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QB0002X and a focus in Obesity Medicine.

Active since September 29, 2010

4100 LAKE DR SE, SUITE B01, GRAND RAPIDS, MI 49546(616) 974-4400 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Corewell Health Medical Group West Bariatrics And Weight Loss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREWELL HEALTH MEDICAL GROUP WEST BARIATRICS AND WEIGHT LOSS (NPI 1720397441) is a healthcare organization registered as an obesity medicine in Grand Rapids, Michigan and active in the NPI registry since September 2010. The organization lists Pauline Krywanski, Svp, as its authorized official.

NPPES Registry Identity

NPI1720397441

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4100 LAKE DR SE, SUITE B01Grand Rapids, MI 49546-8292

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 974-4400

Organization SubpartYes

Authorized OfficialPauline KrywanskiSvp · (616) 486-2253

Enumeration DateSeptember 29, 2010

Last NPPES UpdateOctober 26, 2023

NPPES CertifiedOctober 26, 2023

✔ NPI 1720397441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedSurgeryTaxonomy 208600000X

4100 LAKE DR SE, Grand Rapids, MI 49546

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Other Names 1

Doing Business AsCorewell Health Medical Group West Bariatrics And Weight Loss

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