NPIMap

Organization Active NPI

Sparrow Eaton Hospital

  • Obstetrics & Gynecology Physician
  • Charlotte, MI
National Provider Identifier
1003097882
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SPARROW EATON HOSPITAL
Practice address
111 Lansing St
Suite 230
Charlotte, MI 48813-2400
Phone
(517) 543-9563
NPI assigned
Nov 20, 2007
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Misty Gunter Russian
Title
Supervisor, Provider Enrollment
Phone
(517) 253-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

111 Lansing St
Suite 230
Charlotte, MI 48813-2400

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 485-0001

Other identifiers 1

IdentifierTypeStateIssuer
0B31001OtherMIBCBSM

Other names 3

  • University of Michigan Health-Sparrow Doing business as
  • HAYES GREEN BEACH MEMORIAL HOSPITAL Former legal business name
  • University of Michigan Health-Sparrow Eaton Other name

National Provider Directory

National Provider Directory
Tax ID family
SMG Charlotte Surgery15 organizations share this tax ID, including this one
Part of
Sparrow Health System

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Interoperability endpoints

  • FHIR API: https://haiku.sparrow.org/fhir-prd/api/FHIR/R4/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1003097882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "517-485-0001",
            "fax_number": "517-485-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LANSING ST",
            "address_2": "SUITE 230",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132400",
            "telephone_number": "517-543-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW EATON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B31001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-Sparrow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HAYES GREEN BEACH MEMORIAL HOSPITAL",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "University of Michigan Health-Sparrow Eaton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.