Edward W. Sparrow Hospital Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Doing business as

Sparrow Medical Group Nursing Home Specialist
University of Michigan Health-Sparrow Nursing Home Specialists

Practice address

2909 E Grand River Ave Ste 102
Lansing, MI 48912-4335

Phone

(517) 364-8670

Fax

(517) 364-8671

NPI assigned

Dec 18, 2019

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SPARROW HEALTH SYSTEMAs reported in NPPES

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 4

Addresses

Other names 2

• Sparrow Medical Group Nursing Home Specialist Doing business as
• University of Michigan Health-Sparrow Nursing Home Specialists Doing business as

Part of

Sparrow Health System

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1407494768",
    "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": "606860081",
            "telephone_number": "517-364-8670",
            "fax_number": "517-364-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E GRAND RIVER AVE STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124335",
            "telephone_number": "517-364-8670",
            "fax_number": "517-364-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Medical Group Nursing Home Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Michigan Health-Sparrow Nursing Home Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward W. Sparrow Hospital Association (Sparrow Medical Group Eastside)
• Edward W. Sparrow Hospital Association (Sparrow Medical Group Pulmonology)
• Edward W. Sparrow Hospital Association (Sparrow CRNA Services)
• Edward W. Sparrow Hospital Association (Sparrow Pharmacy Plus #1)
• Edward W. Sparrow Hospital Association (Sparrow Orthopedics)
• Edward W. Sparrow Hospital Association (Sparrow Medical Group Lansing)
• Edward W. Sparrow Hospital Association (University of Michigan Health-Sparrow Lansing Health Ctr Pharmacy Plus)
• Edward W. Sparrow Hospital Association (University of Michigan Health-Sparrow)
• Edward W. Sparrow Hospital Association (SMG Infectious Disease)
• Edward W. Sparrow Hospital Association (University of Michigan Health-Sparrow Diabetes & Endocrinology)

• Internal Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.