Spectrum Health Primary Care Partners
NPI 1578860912 · Pediatric Neurodevelopmental Disabilities Physician · Grand Rapids, MI
Spectrum Health Primary Care Partners is a Pediatric Neurodevelopmental Disabilities Physician organization in Grand Rapids, MI (NPI 1578860912).
Provider details
- NPI number
- 1578860912
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Primary Care Partners
- Organization subpart
- Yes
- Authorized official
- Polly Krywanski, Svp, Finance(616) 486-2253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Doing business as
- Corewell Health Medical Group West
Registry dates
- Enumerated
- 2011-02-22
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Frequently asked questions
- What is Spectrum Health Primary Care Partners's NPI number?
- Spectrum Health Primary Care Partners's National Provider Identifier (NPI) is 1578860912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Health Primary Care Partners?
- Spectrum Health Primary Care Partners is classified in the NPPES registry as Pediatric Neurodevelopmental Disabilities Physician (Allopathic & Osteopathic Physicians).
- Where is Spectrum Health Primary Care Partners located?
- Spectrum Health Primary Care Partners's practice location on file with NPPES is 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918.
- What is Spectrum Health Primary Care Partners's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Health Primary Care Partners is (616) 365-2310.
- Who is the authorized official for Spectrum Health Primary Care Partners?
- The authorized official listed on Spectrum Health Primary Care Partners's NPPES record is Polly Krywanski, Svp, Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Health Primary Care Partners's NPI active?
- Yes — Spectrum Health Primary Care Partners's NPI (1578860912) is active in the NPPES registry as of the last update on 2023-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.