NPIMap

Organization Active NPI

Sparrow Eaton Hospital

Doing business as University of Michigan Health-Sparrow

  • Certified Registered Nurse Anesthetist
  • Charlotte, MI
National Provider Identifier
1205035698
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
230020 Issued in MI
Legal business name
SPARROW EATON HOSPITAL
Doing business as
University of Michigan Health-Sparrow
University of Michigan Health-Sparrow Eaton
Practice address
321 E Harris St
Charlotte, MI 48813-1629
Phone
(517) 541-5927
Fax
(517) 543-0875
NPI assigned
Jul 16, 2007
Last updated
Apr 8, 2024By the provider in NPPES
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
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 3

  • University of Michigan Health-Sparrow Doing business as
  • University of Michigan Health-Sparrow Eaton Doing business as
  • Hayes Green Beach Memorial Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000368 MI Part B Supplier - Clinic/Group Practice 0042103509 Receives reassigned benefits from 152 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI; Charlotte, MI; Olivet, MI; Grand Ledge, MI; Eaton Rapids, MI; East Lansing, MI

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hayes Green Beach15 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

Locations

111 Lansing St
Ste 200
Charlotte, MI 48813
Phone (517) 541-5882

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

  • Matthew Jay Agnew
    • Certified Registered Nurse Anesthetist
    • Lansing, MI
    • NPI 1558407023

    Nurse Anesthetist, Certified Registered

    NPD
  • Denise Lynn Berry, CRNA
    • Certified Registered Nurse Anesthetist
    • Ann Arbor, MI
    • NPI 1003128356

    Nurse Anesthetist, Certified Registered

    NPD
  • Rebecca Jean Boik, CRNA
    • Certified Registered Nurse Anesthetist
    • Lansing, MI
    • NPI 1700635752

    Nurse Anesthetist, Certified Registered

    NPD
  • Troy Alan Broka
    • Certified Registered Nurse Anesthetist
    • Lansing, MI
    • NPI 1396876876

    Nurse Anesthetist, Certified Registered

    NPD
  • Luke Butters
    • Physician Assistant
    • Jackson, MI
    • NPI 1720402605
    NPD
  • Nicholas Crofut, CRNA
    • Certified Registered Nurse Anesthetist
    • Bingham Farms, MI
    • NPI 1588620454

    Nurse Anesthetist, Certified Registered

    NPD
  • Jodie Annette Curry, CRNA
    • Certified Registered Nurse Anesthetist
    • Lansing, MI
    • NPI 1689631897

    Nurse Anesthetist, Certified Registered

    NPD
  • Shannon Laura Floeter, CRNA
    • Certified Registered Nurse Anesthetist
    • Ann Arbor, MI
    • NPI 1104079094

    Nurse Anesthetist, Certified Registered

    NPD
  • Jonathon D Foldie, MD
    • Obstetrics & Gynecology Physician
    • Lansing, MI
    • NPI 1316430713
    NPD
  • Erik Martin Forbord, CRNA
    • Certified Registered Nurse Anesthetist
    • Lansing, MI
    • NPI 1144313784

    Nurse Anesthetist, Certified Registered

    NPD
  • Jonathan P Gunsberg, CRNA
    • Certified Registered Nurse Anesthetist
    • Traverse City, MI
    • NPI 1073865788

    Nurse Anesthetist, Certified Registered

    NPD
  • Kaitlyn Gwizdala, NP
    • Family Nurse Practitioner
    • East Lansing, MI
    • NPI 1083381214
    NPD
View all 21

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": [],
    "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.

Verify at the official NPI Registry.