Active NPI
Sparrow Eaton Hospital
- Certified Registered Nurse Anesthetist
- Charlotte, MI
National Provider Identifier
1205035698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 230020
- Legal business name
- SPARROW EATON HOSPITAL
- Practice address
- 321 E Harris St
Charlotte, MI 48813-1629 - Phone
- (517) 541-5927
- Fax
- (517) 543-0875
- NPI assigned
- Jul 16, 2007
- Organization subpart
- Yes
- Parent organization
- SPARROW HEALTH SYSTEM
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 230020 | MI | Primary |
Addresses
Primary practice location
321 E Harris St
Charlotte, MI 48813-1629
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-3008
Phone (517) 253-6320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B36009 | Other | MI | BCN CRNA GROUP NUMBER |
Other names 3
- University of Michigan Health-Sparrow
- University of Michigan Health-Sparrow Eaton
- Hayes Green Beach Memorial Hospital
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.
-
- Adolescent Medicine (Family Medicine) Physician
- Charlotte, MI
- NPI 1760681159
O20040213000368
-
- Adolescent Medicine (Family Medicine) Physician
- Grand Ledge, MI
- NPI 1841079787
O20040213000368
National Provider Directory
National Provider Directory- Tax ID family
- SMG Charlotte Surgery
- 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.
-
- Obstetrics & Gynecology Physician
- Charlotte, MI
- NPI 1003097882
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1083872964
-
- Urology Physician
- Charlotte, MI
- NPI 1093456758
-
- Pulmonary Disease Physician
- Charlotte, MI
- NPI 1205661006
-
- Surgery Physician
- Charlotte, MI
- NPI 1336313022
-
- Anesthesiology Physician
- Charlotte, MI
- NPI 1548439110
-
- Neurology Physician
- Charlotte, MI
- NPI 1598820672
-
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1740461524
-
- Internal Medicine Physician
- Charlotte, MI
- NPI 1831370618
-
- Obstetrics & Gynecology Physician
- Charlotte, MI
- NPI 1841499233
-
- Emergency Medicine Physician
- Charlotte, MI
- NPI 1861691248
-
- Urgent Care Clinic/Center
- Charlotte, MI
- NPI 1861763252
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1558407023
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
- NPI 1003128356
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1700635752
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1396876876
Nurse Anesthetist, Certified Registered
-
- Physician Assistant
- Jackson, MI
- NPI 1720402605
-
- Certified Registered Nurse Anesthetist
- Bingham Farms, MI
- NPI 1588620454
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1689631897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
- NPI 1104079094
Nurse Anesthetist, Certified Registered
-
- Obstetrics & Gynecology Physician
- Lansing, MI
- NPI 1316430713
-
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1144313784
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Traverse City, MI
- NPI 1073865788
Nurse Anesthetist, Certified Registered
-
- Family Nurse Practitioner
- East Lansing, MI
- NPI 1083381214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1205035698",
"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": "606863008",
"telephone_number": "517-253-6320",
"fax_number": "517-253-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E HARRIS ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131629",
"telephone_number": "517-541-5927",
"fax_number": "517-543-0875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARROW EATON HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
"enumeration_date": "2007-07-16",
"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": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "230020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN CRNA GROUP NUMBER",
"identifier": "0B36009",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University of Michigan Health-Sparrow",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "University of Michigan Health-Sparrow Eaton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hayes Green Beach Memorial Hospital",
"code": "4",
"type": "Former Legal Business 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.