Edward W. Sparrow Hospital Association
Organization Active NPI Multi-Specialty Clinic/Center · Okemos, MI
NPI 1205213014 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1205213014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 2446 Jolly Rd Ste B
Okemos, MI 48864-3514 - Phone
- (517) 253-5530
- Fax
- (517) 253-5535
- NPI assigned
- Apr 30, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- SPARROW HEALTH SYSTEM
Authorized official
- Name
- Misty Gunter Russian
- Title
- Regional MGR, Provider Enrollment
- Phone
- (517) 253-6308
Other NPIs with the same Medicare PAC ID 19
Practitioners 699
-
Jessica Anne Bates, AGNP
-
Madalina Opreanu, M.D.
-
Kristen Mae Monroe, DNP, RN, FNP-BC
-
Farha Zaman Abbasi, M.D.
-
George Samih Abela, M.D.
-
Eyad Abu-Isa, MD
-
Dennis Sarabia Ahmad, D.O., M.P.H
-
Iftiker Ahmad, MD
-
Joseph Aikens, CRNA
-
MHD Hussam Al Jandali, M.D.
-
Jennifer Lynn Alexander, FNP-BC
-
Hussein M. Ali-Ahmad, M.D.
-
Richard James Allen, D.O.
-
Rija Alvi, MD
-
Emilie Jean Amundson, CRNA
-
Michael Thomas Andary, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150609001395 | MI | Part B Supplier - Clinic/Group Practice | 6709799166 |
Receives reassigned benefits from 4 practitioners Practice locations: Okemos, MI |
National Provider Directory
- Part of
- Sparrow Health System
Locations
1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1060000091 | MI | |
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
2446 Jolly Rd Ste B
Okemos, MI 48864-3514
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205213014 | Medicaid | MI | |
| 0C30919 | Other | BCBS |
Other names
- Sparrow Walk-In Care Lansing
- University of Michigan Health-Sparrow
- University of Michigan Health-Sparrow Same-Day Access Clinic
Other providers in Okemos, MI
- Rhonda M Earley
- Eric Lee Eby
- Mira Edgerton
- Jennifer Edsall
- Edward W Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Halle Egan
- Ariana Eggleston
- Katie El-Behairy
- Elan Okemos LLC
All providers in Okemos, MI · Multi-Specialty Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. 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.