Edward W. Sparrow Hospital Association
Organization Active NPI Family Medicine Physician · Mason, MI
NPI 1083668545 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1083668545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 800 E Columbia St
Mason, MI 48854-1381 - Phone
- (517) 244-8940
- Fax
- (517) 244-8941
- NPI assigned
- May 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SPARROW HEALTH SYSTEM
Authorized official
- Name
- Misty Gunter Russian
- Title
- Supervisor
- Phone
- (517) 253-6308
Other NPIs on the same Medicare enrollment 34
Practitioners 47
-
Noshir Yazdi Amaria, D.O.
-
Carolyn D Baker, NP
-
Laura Leigh Broughton, LMSW
-
Shirin Elizabeth Doshi, D.O.
-
Linda J Ducat, PA-C
-
Sara Ann Dumich, M.D.
-
Nathan James Fitton, D.O.
-
Kevin Foley, MD
-
Sarah Hagle, MD
-
Brian Joseph Hinkley, D.O.
-
Peter Hochstedler, LMSW
-
Steven Istephan, M.D.
-
Brooke L Lemmen, DO
-
Craig Hargurkirat Malli, M.D.
-
Blake McCullough, LMSW
-
Jill Sadoski Moschelli, M.D.
-
Amy J. Odom, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000790 | MI | Part B Supplier - Clinic/Group Practice | 6709799166 |
Receives reassigned benefits from 965 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lansing, MI; Mason, MI; Okemos, MI; Owosso, MI; Saint Johns, MI; Williamston, MI; Carson City, MI; Charlotte, MI… |
National Provider Directory
- Part of
- Sparrow Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
800 E Columbia St
Mason, MI 48854-1381
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 244-8940
Other practice location 1
2900 Hannah Blvd Ste 104
East Lansing, MI 48823-5380
Phone (517) 364-8150
Other practice location 2
1200 E Michigan Ave Ste 245A
Lansing, MI 48912-1852
Phone (517) 364-5710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080C360910 | Other | MI | BCBS GROUP NUMBER |
Other names
- Sparrow Family Medicine Residency Central
- Sparrow Family Medicine Residency Mason
- University of Michigan Health-Sparrow Family Medicine Residency
Other providers in Mason, MI
- Divine Care Health Group, Inc.
- Kimberly Sue Docter
- Gabrielle Dorey
- Douglas W Gray DDS
- Dr. Glen a. Linsley Optometrist, PC
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Brianna Eldridge
- Jessica Ellinger
- Brittany Elliott
All providers in Mason, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.