COREWELL HEALTH MEDICAL GROUP WEST
NPI 1699084871
Urology in Grand Rapids, MI

NPI Status: Active since October 05, 2010

Contact Information

4069 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 486-2860

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  • Organization
  • Urology

About COREWELL HEALTH MEDICAL GROUP WEST

This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a provider established in Grand Rapids, Michigan operating as a Urology. The healthcare provider is registered in the NPI registry with number 1699084871 assigned on October 2010. The practitioner's primary taxonomy code is 208800000X. 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 (Cfo)

NPI
1699084871
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
4069 LAKE DR SE GRAND RAPIDS, MI 49546
Location Phone
(616) 486-2860
Mailing Address
100 MICHIGAN ST NE MC845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-05-2010
Last Update Date
10-31-2023
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
4207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
6207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
7208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
8208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
9208600000XAllopathic & Osteopathic Physicians

Surgery

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAULINE KRYWANSKI

Authorized Official Title
CFO
Authorized Official Phone
(616) 486-2253

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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.
1699084871
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189088814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 0 + 8 + 8 + 8 + 1 + 4 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1699084871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366498222 GRAHAM BARNETT MD
Individual
Urology4069 LAKE DR SE S-313
GRAND RAPIDS, MI 49546
(616) 774-9333
1235168089 ANDRZEJ MARIAN CHEBES M.D.
Individual
Internal Medicine4069 LAKE DR SE SUITE 117
GRAND RAPIDS, MI 49546
(616) 726-8700
1083632426MICHIGAN MEDICAL PATIENT CARE
Organization
Optometrist4069 LAKE DR SE S-315
GRAND RAPIDS, MI 49546
(616) 974-2890
1720178940 SCOTT J HENDERSON PT
Individual
Physical Therapist4069 LAKE DR SE STE 114
GRAND RAPIDS, MI 49546
(616) 726-8365
1801978754MICHIGAN MEDICAL PATIENT CARE
Organization
Physical Therapist4069 LAKE DR SE STE 114
GRAND RAPIDS, MI 49546
(616) 726-8365
1174605547 MICHAEL CHARLES WEST PA-C
Individual
Physician Assistant4069 LAKE DR SE SUITE 312
GRAND RAPIDS, MI 49546
(616) 459-8700
1154403889 CHRISTINE EARDLEY PT
Individual
Physical Therapist4069 LAKE DR SE STE 114
GRAND RAPIDS, MI 49546
(616) 726-8365
1548334576 DONALD J SCHOLTEN MD
Individual
Surgery4069 LAKE DR SE SUITE 117
GRAND RAPIDS, MI 49546
(616) 459-4601
1255494449MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies4069 LAKE DR SE SUITE 313
GRAND RAPIDS, MI 49546
(616) 774-9333
1427111624MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies4069 LAKE DR SE SUITE 315
GRAND RAPIDS, MI 49546
(616) 464-2810
1316001100MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies4069 LAKE DR SE SUITE 315D
GRAND RAPIDS, MI 49546
(616) 464-2890
1104989920MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies4069 LAKE DR SE SUITE 315
GRAND RAPIDS, MI 49546
(616) 464-2860
1871657668MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies4069 LAKE DR SE STE. 114
GRAND RAPIDS, MI 49546
(616) 726-8365
1649334590MICHIGAN MEDICAL PATIENT CARE
Organization
Ophthalmology4069 LAKE DR SE SUITE 315 D
GRAND RAPIDS, MI 49546
(616) 464-2890
1174689608MICHIGAN MEDICAL PATIENT CARE
Organization
Podiatrist4069 LAKE DR SE SUITE 315 B
GRAND RAPIDS, MI 49546
(616) 464-2810
1124290341MICHIGAN MEDICAL PATIENT CARE
Organization
Internal Medicine4069 LAKE DR SE
GRAND RAPIDS, MI 49546
(616) 974-4800
1952565749MICHIGAN MEDICAL PC
Organization
Optometrist4069 LAKE DR SE SUITE 315
GRAND RAPIDS, MI 49546
(616) 464-2890
1407007701MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies4069 LAKE DR SE SUITE 117
GRAND RAPIDS, MI 49546
(616) 726-8600
1114165214 JUDY ESSENBERG
Individual
Technician/Technologist (Optician)4069 LAKE DR SE SUITE 315
GRAND RAPIDS, MI 49546
(616) 464-2890
1679801328 DEBBIE A VERBRUGGE PT
Individual
Physical Therapist4069 LAKE DR SE SUITE 114
GRAND RAPIDS, MI 49546
(616) 726-8365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699084871, enumerated in the NPI registry as an "organization" on October 05, 2010

The provider is located at 4069 Lake Dr Se Grand Rapids, Mi 49546 and the phone number is (616) 486-2860

This medical organization specializes in Urology with taxonomy code 208800000X

This NPI record was last updated on October 05, 2010. 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.