COREWELL HEALTH MEDICAL GROUP WEST
NPI 1861701047
Internal Medicine in Grand Rapids, MI

Active since October 05, 2010
1900 WEALTHY ST SE, GRAND RAPIDS, MI 49506(616) 459-0292 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 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 1861701047) is a healthcare organization registered as an internal medicine 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

NPI1861701047
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address1900 WEALTHY ST SEGrand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialPauline KrywanskiCfo · (616) 486-2253
Enumeration DateOctober 5, 2010
Last NPPES UpdateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
NPI 1861701047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
1900 WEALTHY ST SE, Grand Rapids, MI 49506

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0037884

Corewell Health Blodgett Hospital Immediate Response Laboratory · Grand Rapids, MI
Active · expires Feb 27, 2027
CLIA Number23D0037884
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. William V. Chopp
Laboratory Phone(616) 267-2633
Laboratory LocationCorewell Health Blodgett Hospital Immediate Response Laboratory1840 Wealthy SE, Grand Rapids, MI 49506
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Physician Assistant
1900 WEALTHY ST SE, SUITE 200
GRAND RAPIDS, MI 49506
Specialist
1900 WEALTHY ST SE, SUITE 330
GRAND RAPIDS, MI 49506
Orthopaedic Surgery
1900 WEALTHY ST SE, SUITE 290
GRAND RAPIDS, MI 49506
Internal Medicine
1900 WEALTHY ST SE, STE 150
GRAND RAPIDS, MI 49506
Internal Medicine (Gastroenterology)
1900 WEALTHY ST SE, STE 150
GRAND RAPIDS, MI 49506
Internal Medicine
1900 WEALTHY ST SE, SUITE 200
GRAND RAPIDS, MI 49506
Pharmacist
1900 WEALTHY ST SE, SUITE 105
GRAND RAPIDS, MI 49506
Pharmacist
1900 WEALTHY ST SE, SUITE 105
GRAND RAPIDS, MI 49506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861701047, enumerated as an "organization" on October 05, 2010.

The provider is located at 1900 WEALTHY ST SE GRAND RAPIDS, MI 49506 and the phone number is (616) 459-0292.

Internal Medicine with taxonomy code 207R00000X.