Edward W. Sparrow Hospital Association
Organization Active NPI Neurological Surgery Physician · Lansing, MI
NPI 1689620098 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1689620098
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1200 E Michigan Ave Ste 340
Lansing, MI 48912-1894 - Phone
- (517) 253-6320
- Fax
- (517) 253-6321
- NPI assigned
- May 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official
- Name
- Margaret Ann Dimond
- Title
- President/Ceo, Um Health Regional N
- Phone
- (517) 364-6000
Other NPIs on the same Medicare enrollment 34
Practitioners 49
-
Jackilyn Danielle Alverson, AGACNP
-
Erica Ann Austin, DO
-
Stephanie Hysen Brown, P.A.
-
Tyson Burghardt, MD
-
Howard T. Chang, MD. PHD
-
Kristin Denice Coble, AGACNP-BC, FNP-BC
-
Brandon Francis, MD, MPH
-
Rajeel Imran, M.D.
-
Jacob Rahul Rajiv Joseph, M.D.
-
Michael Karsy, MD
-
Noojan J Kazemi, MD
-
Ryan A Keating, D.O.
-
Ashley Louise Lamb, FNP-C
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
- Part of
- James S Scott MD
Locations
1200 E Michigan Ave
Ste 340
Lansing, MI 48912
Phone (517) 364-5930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes | ||
| Neurology Physician |
2084N0400X |
Addresses
Primary practice location
1200 E Michigan Ave Ste 340
Lansing, MI 48912-1894
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 253-6320
Other practice location 1
1200 E Michigan Ave
Lower Level
Lansing, MI 48912-1800
Phone (517) 364-5258
Other practice location 2
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 253-6320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130B310080 | Other | MI | BCBS GROUP NUMBER |
Other names
- Sparrow Neurology Clinic
- University of Michigan Health-Sparrow Neurosurgery
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 · Neurological 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 11, 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.