NPIMap

Organization Active NPI

Edward W. Sparrow Hospital Association

  • Maternal & Fetal Medicine Physician
  • Lansing, MI
National Provider Identifier
1720034481
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Practice address
1200 E Michigan Ave
Suite 345
Lansing, MI 48912-1800
Phone
(517) 364-5610
Fax
(517) 364-5614
NPI assigned
May 25, 2006
Organization subpart
Yes
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Diane S Gallups
Title
Director Professional Billing
Phone
(517) 364-6251

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Steven Roth, MD
    • Maternal & Fetal Medicine Physician
    • Lansing, MI
    • NPI 1528166733

    Maternal & Fetal Medicine

    NPD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Part of
James S Scott MD

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X

Addresses

NPPES NPI Registry

Primary practice location

1200 E Michigan Ave
Suite 345
Lansing, MI 48912-1800

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-5610

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
160C310820OtherMIBCBS GROUP NUMBER

Other names 1

NPPES NPI Registry
  • Sparrow Perinatal Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2013.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1720034481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-5610",
            "fax_number": "517-364-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 345",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5610",
            "fax_number": "517-364-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "GALLUPS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR PROFESSIONAL BILLING",
        "authorized_official_telephone_number": "517-364-6251",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "160C310820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Perinatal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.