Edward W. Sparrow Hospital Association
Organization Active NPI Gynecologic Oncology Physician · Lansing, MI
NPI 1710580949 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1710580949
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gynecologic Oncology Physician 207VX0201X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1200 E Michigan Ave Ste 640
Lansing, MI 48912-1800 - Phone
- (517) 364-5682
- Fax
- (517) 364-5683
- NPI assigned
- Nov 19, 2020
- 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
Practitioners 701
-
Mary Lynne Barringer, WHNP-BC
-
Katie Elizabeth Pihlman, PA-C
-
Erin P Sattazahn, PA-C
-
Farha Zaman Abbasi, M.D.
-
George Samih Abela, M.D.
-
Eyad Abu-Isa, MD
-
Dennis Sarabia Ahmad, D.O., M.P.H
-
Iftiker Ahmad, MD
-
Joseph Aikens, CRNA
-
MHD Hussam Al Jandali, M.D.
-
Jennifer Lynn Alexander, FNP-BC
-
Hussein M. Ali-Ahmad, M.D.
-
Richard James Allen, D.O.
-
Rija Alvi, MD
-
Emilie Jean Amundson, CRNA
-
Michael Thomas Andary, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210223002758 | MI | Part B Supplier - Clinic/Group Practice | 6709799166 |
Receives reassigned benefits from 4 practitioners Practice locations: Lansing, MI |
National Provider Directory
- Part of
- Sparrow Health System
Locations
1651 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823
Phone (517) 253-3910
1200 E Michigan Ave
Ste 640
Lansing, MI 48912
Phone (517) 364-5682
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician |
207VX0201X | Yes |
Addresses
Primary practice location
1200 E Michigan Ave Ste 640
Lansing, MI 48912-1800
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-8670
Other names
- Sparrow Medical Group Gynecologic Oncology
- University of Michigan Health-Sparrow Gynecologic Oncology
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 · Gynecologic Oncology 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 27, 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.