OrganizationActive
Spectrum Health Hospitals
NPI 1356683569 · Internal Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1356683569
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Hospitals
- Organization subpart
- Yes
- Authorized official
- Pauline Krywanski, Svp, Finance(616) 486-2253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3350 Broadmoor Ave Se
Grand Rapids, MI 49512-2867
Phone: (616) 391-8020
Street-level locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Other names (DBA / former)
- Doing business as
- Corewell Health Grand Rapids Hospitals
Registry dates
- Enumerated
- 2013-03-26
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.