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Edward W. Sparrow Hospital Association

Organization Active NPI Pediatric Critical Care Medicine Physician · Lansing, MI

NPI 1285949461 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1285949461
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Critical Care Medicine Physician 2080P0203X
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-2117
Fax
(517) 364-3994
NPI assigned
Aug 12, 2010
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 716

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

View all 716

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110427000241 MI Part B Supplier - Clinic/Group Practice 6709799166 Receives reassigned benefits from 18 practitioners
Practice locations: 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
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Pediatric Critical Care Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2080P0203X Yes

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-2117

Other names

  • Sparrow Pediatric Intensivist Doing business as
  • University of Michigan Health-Sparrow Pediatric Critical Care Doing business as

Other providers in Lansing, MI

All providers in Lansing, MI · Pediatric Critical Care Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.