Provider Type Icon

SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1972880920


NPI Information

NPI: 1972880920
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 23D0973091

Address:
3950 HOLLYWOOD RD
SUITE 240
SAINT JOSEPH, MI
ZIP 49085
Phone: (616) 267-2500
Get Directions

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a pediatric endocrinology pediatrics in Saint Joseph, MI. The provider is 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. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1972880920. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corewell Health Medical Group West.

The provider's business location address is:

3950 HOLLYWOOD RD
SUITE 240
SAINT JOSEPH, MI
ZIP 49085-159
Phone: (616) 267-2500
Fax: (616) 267-2501

The provider's authorized official is Polly Krywanski .
The authorized official title is Svp Finance and has the following contact phone number (616) 486-2253.

The CLIA number assigned to this NPI record is 23D0973091 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/4/2011 and was last updated on 10/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
3208000000XPediatricsNo
42080P0202XPediatricsPediatric CardiologyNo
52080P0210XPediatricsPediatric NephrologyNo
6207R00000XInternal MedicineNo
72080P0205XPediatricsPediatric EndocrinologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.