Edward W. Sparrow Hospital Association
Organization Active NPI Infectious Disease Physician · Lansing, MI
NPI 1508438995 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1508438995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1200 E Michigan Ave Ste 370
Lansing, MI 48912-1897 - Phone
- (517) 364-5300
- Fax
- (517) 364-5325
- NPI assigned
- Jul 14, 2021
- 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 on the same Medicare enrollment 34
Corporate family (same tax ID) 48
Practitioners 7
-
Rija Alvi, MD
-
Ambreen Malik, MD
-
Matthew Steinberger, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000790 | MI | Part B Supplier - Clinic/Group Practice | 6709799166 |
Receives reassigned benefits from 965 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lansing, MI; Mason, MI; Okemos, MI; Owosso, MI; Saint Johns, MI; Williamston, MI; Carson City, MI; Charlotte, MI… |
National Provider Directory
- Tax ID family
- James S Scott MD
- Part of
- Sparrow Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
1200 E Michigan Ave Ste 370
Lansing, MI 48912-1897
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (517) 253-6320
Other practice location 1
2682 E Grand River Ave
East Lansing, MI 48823-5608
Phone (518) 364-5300
Other names
- SMG Infectious Disease
- University of Michigan Health-Sparrow Lansing Infectious Disease
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 · Infectious Disease 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.