SPECTRUM HEALTH MEDICAL GROUP
NPI 1669854816
Obstetrics & Gynecology in Grandville, MI
NPI Status: Active since June 24, 2015
Contact Information
4249 PARKWAY PLACE DR SW
GRANDVILLE, MI
ZIP 49418
Phone: (616) 774-7035
- Organization
- Obstetrics & Gynecology
- CLIA Number: 23D0380241
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-17-2026
About SPECTRUM HEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Spectrum Health Medical Group, a women's health care provider established in Grandville, Michigan operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1669854816 assigned on June 2015. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Spectrum Health Medical Group 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 Spectrum Health Medical Group. The authorized official of this NPI record is Pauline Krywanski (Svp Finance)
- NPI
- 1669854816
- Provider Legal Name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Other Organization Name
- SPECTRUM HEALTH MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4249 PARKWAY PLACE DR SW GRANDVILLE, MI 49418
- Location Phone
- (616) 774-7035
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 486-6790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-24-2015
- Last Update Date
- 10-31-2023
- Code Navigator
Women's health care providers like Spectrum Health Medical Group treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 | 207VM0101X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
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
- 23D0380241
- Facility Type
- Physician Office
- Certificate Effective Date
- November 18, 2024
- Certificate Expiration Date
- November 17, 2026
- Laboratory Director
- ROSALIE K. PILBEAM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Spectrum Health Medical Group 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 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 | 6 | 6 | 9 | 8 | 5 | 4 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 5 | 8 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 5 + 8 + 8 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1669854816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669854816, enumerated in the NPI registry as an "organization" on June 24, 2015
The provider is located at 4249 Parkway Place Dr Sw Grandville, Mi 49418 and the phone number is (616) 774-7035
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider's CLIA number is 23D0380241 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 June 24, 2015. 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].
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