COREWELL HEALTH MEDICAL GROUP WEST
NPI 1972880920
Pediatrics - Pediatric Endocrinology in Saint Joseph, MI
NPI Status: Active since November 04, 2011
Contact Information
3950 HOLLYWOOD RD
SUITE 240
SAINT JOSEPH, MI
ZIP 49085
Phone: (616) 267-2500
Fax: (616) 267-2501
- Organization
- Pediatrics
- Pediatric Endocrinology
- CLIA Number: 23D0973091
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-28-2027
About COREWELL HEALTH MEDICAL GROUP WEST
This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a pediatrician established in Saint Joseph, Michigan operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1972880920 assigned on November 2011. The practitioner's primary taxonomy code is 2080P0205X. 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 Polly Krywanski (Svp Finance)
- NPI
- 1972880920
- 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
- 3950 HOLLYWOOD RD SUITE 240 SAINT JOSEPH, MI 49085
- Location Phone
- (616) 267-2500
- Location Fax
- (616) 267-2501
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-04-2011
- Last Update Date
- 10-31-2023
- Code Navigator
A pediatrician like Corewell Health Medical Group West is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 5 | 2080P0210X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0973091
- Facility Type
- Physician Office
- Certificate Effective Date
- January 29, 2025
- Certificate Expiration Date
- January 28, 2027
- Laboratory Director
- SURESH POTLURI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Corewell Health Medical Group West in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1972880920, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972880920, enumerated as an "organization" on November 04, 2011.
The provider is located at 3950 HOLLYWOOD RD SUITE 240 SAINT JOSEPH, MI 49085 and the phone number is (616) 267-2500.
Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.
