# SPECTRUM HEALTH PRIMARY CARE PARTNERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Other names:** Corewell Health Medical Group West
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992016505
- **Legal business name:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Authorized official:** PAULINE KRYWANSKI (CFO)
- **Authorized official phone:** (616) 486-2253

## Contact information

- **Practice address:** 1000 E PARIS AVE SE, SUITE 246, GRAND RAPIDS, MI 49546-3691
- **Practice address phone:** (616) 391-3304
- **Mailing address:** 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 10/27/2023