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Edward W Sparrow Hospital Association

Organization Active NPI Multi-Specialty Clinic/Center · Lansing, MI

NPI 1023659802 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1023659802
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Practice address
1200 E Michigan Ave Ste 101
Lansing, MI 48912-1800
Phone
(517) 364-5552
Fax
(517) 364-5544
NPI assigned
Oct 3, 2019
Organization subpart
Yes
Parent organization (as reported)
SPARROW HEALTH SYSTEM

Authorized official

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

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 48

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

View all 48

Practitioners 698

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 698

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191113000171 MI Part B Supplier - Clinic/Group Practice 6709799166 Receives reassigned benefits from 11 practitioners
Practice locations: East Lansing, MI

National Provider Directory

Tax ID family
James S Scott MD (49 organizations share this tax ID)
Part of
Sparrow Health System

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207L00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Multi-Specialty Clinic/Center 261QM1300X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

1200 E Michigan Ave Ste 101
Lansing, MI 48912-1800

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 253-6320

Other names

  • Sparrow Pre-Anesthesia Testing Clinic Doing business as
  • University of Michigan Health-Sparrow Pre-Anesthesia Testing Doing business as

Other providers in Lansing, MI

All providers in Lansing, MI · Multi-Specialty Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.