Edward W Sparrow Hospital Association
Organization Active NPI Surgery Physician · Lansing, MI
NPI 1457744666 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1457744666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 1060000091 (MI)
- Legal business name
- EDWARD W SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1200 E Michigan Ave Ste 775
Lansing, MI 48912-1838 - Phone
- (517) 364-5209
- Fax
- (517) 364-6204
- NPI assigned
- Mar 12, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- SPARROW HEALTH SYSTEM
Authorized official
- Name
- Misty Gunter Russian
- Title
- Supervisor
- Phone
- (517) 253-6308
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 19
Practitioners 729
-
Daniel C Coffey, M.D.
-
Stacey R Hinton, FNP-C
-
Megan Hohl, NP
-
Lucas A Julien, M.D.
-
Camelia Miller, PA-C
-
Khanghy D Nguyen, DO
-
Eric Pittelkow, MD
-
Lewis Rashid, MD
-
Kyle Schank, MD
-
Thais Araujo Fortes, M.D.
-
Katie Focht, PA-C
-
David E Hagan, MD
-
Hugh Jeffrey Lindsey, M.D.
-
Long Nguyen, M.D.
-
Sharon Aronovich, D.M.D.
-
Karen Ziarnowski Carver, DDS, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150529000465 | MI | Part B Supplier - Clinic/Group Practice | 6709799166 |
Receives reassigned benefits from 53 practitioners 2 other NPIs on this enrollment Practice locations: Saint Johns, MI; Lansing, MI; East Lansing, MI |
National Provider Directory
- Part of
- Sparrow Health System
Locations
2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 1060000091 | MI | Yes |
Addresses
Primary practice location
1200 E Michigan Ave Ste 775
Lansing, MI 48912-1838
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-6253
Other practice location 1
901 S Oakland St
Saint Johns, MI 48879-2255
Phone (517) 364-5388
Other names
- Sparrow Medical Group General Surgery
- University of Michigan Health-Sparrow General Surgery
Other providers in Lansing, MI
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
- Edward W Sparrow Hospital Association
All providers in Lansing, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. 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.