COREWELL HEALTH MEDICAL GROUP WEST
NPI 1336540046
Internal Medicine - Cardiovascular Disease in Grand Haven, MI
NPI Status: Active since September 12, 2014
Contact Information
16986 ROBBINS RD
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 486-6790
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 23D2142340
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-08-2026
About COREWELL HEALTH MEDICAL GROUP WEST
This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, an internist established in Grand Haven, Michigan operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1336540046 assigned on September 2014. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Corewell Health Medical Group West operates as a multi-specialty business group with one or more individual providers 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 (Svp Finance)
- NPI
- 1336540046
- Provider Legal Name
- SPECTRUM HEALTH PRIMARY CARE PARTNER
- Other Organization Name
- COREWELL HEALTH MEDICAL GROUP WEST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16986 ROBBINS RD GRAND HAVEN, MI 49417
- Location Phone
- (616) 486-6790
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-12-2014
- Last Update Date
- 10-30-2023
- Code Navigator
An internist like Corewell Health Medical Group West is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine |
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
- 23D2142340
- Facility Type
- Physician Office
- Certificate Effective Date
- January 09, 2024
- Certificate Expiration Date
- January 08, 2026
- Laboratory Director
- SEAN R. GOODWIN
- 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.
Reviews for COREWELL HEALTH MEDICAL GROUP WEST
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 5 | 4 | 0 | 0 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 10 | 4 | 0 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 0 + 4 + 0 + 0 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1336540046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518242734 | EDSON MEDICAL CLINIC, LLC Organization | Anesthesiology (Pain Medicine) | 16986 ROBBINS RD SUITE 180 GRAND HAVEN, MI 49417 (800) 909-9220 |
| 1164991436 | PRIVAMD INC Organization | Clinic/Center (Multi-Specialty) | 16986 ROBBINS RD GRAND HAVEN, MI 49417 (231) 215-8086 |
| 1467276030 | JUST US DIVINE HEALTH AND WELLNESS Organization | Physician Assistant (Medical) | 16986 ROBBINS RD GRAND HAVEN, MI 49417 (616) 213-0253 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336540046, enumerated in the NPI registry as an "organization" on September 12, 2014
The provider is located at 16986 Robbins Rd Grand Haven, Mi 49417 and the phone number is (616) 486-6790
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider's CLIA number is 23D2142340 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued 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..
This NPI record was last updated on September 12, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.