Active NPI
Sparrow Ionia Hospital
- Pediatrics Physician
- Ionia, MI
National Provider Identifier
1013079128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SPARROW IONIA HOSPITAL
- Practice address
- 550 E Washington St
Ionia, MI 48846-2202 - Phone
- (616) 523-1400
- Fax
- (616) 523-1429
- NPI assigned
- Dec 14, 2006
- Organization subpart
- Yes
- Parent organization
- SPARROW IONIA HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Roeser
- Title
- Ceo
- Phone
- (616) 523-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
550 E Washington St
Ionia, MI 48846-2202
Mailing address
PO Box 1001
520 E Washington St
Ionia, MI 48846-6001
Phone (616) 523-1400
Other names 1
- SPARROW IONIA PEDIATRICS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Ionia, MI
- NPI 1710900659
O20031230000664
National Provider Directory
National Provider Directory- Part of
- Family Health Center Mu
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1850 Hyland Dr
Portland, MI 48875
Phone (517) 253-5084
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1679882005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393977600000",
"number": "1013079128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1001",
"address_2": "520 E WASHINGTON ST",
"city": "IONIA",
"state": "MI",
"postal_code": "488466001",
"telephone_number": "616-523-1400",
"fax_number": "616-523-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E WASHINGTON ST",
"city": "IONIA",
"state": "MI",
"postal_code": "488462202",
"telephone_number": "616-523-1400",
"fax_number": "616-523-1429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARROW IONIA HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPARROW IONIA HOSPITAL",
"enumeration_date": "2006-12-14",
"last_updated": "2014-03-05",
"status": "A",
"authorized_official_last_name": "ROESER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "616-523-1400"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPARROW IONIA PEDIATRICS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.