Edward W. Sparrow Hospital Association
Organization Active NPI Pediatrics Physician · Lansing, MI
NPI 1720034499 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1720034499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1200 E Michigan Ave
Suite 460
Lansing, MI 48912-1800 - Phone
- (517) 364-2097
- Fax
- (517) 364-2077
- NPI assigned
- May 25, 2006
- 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 32
-
Farhan Bhatti, M.D.
-
Nora Biary, MD
-
Joseph Thomas Church, M.D.
-
Daniel Elsholz, MD
-
Saif M Fatteh, M.D.
-
Martha Feher, MD
-
Samir Gadepalli, MD
-
Joel S Greenberg, D.O.
-
Courtney J Hart, MD
-
Kimberly K Monroe, M.D.
-
Erin Elizabeth Perrone, M.D.
-
Reena Reddy, MD
-
Shashi Sahai, MD MRCP
-
Kyle Lee Snell, D.O.
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 |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
1200 E Michigan Ave
Suite 460
Lansing, MI 48912-1800
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-2097
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350C313590 | Other | MI | BCBS GROUP NUMBER |
Other names
- SRCC Pediatric Hospitalist
- UNIVERSITY OF MICHIGAN HEALTH-SPARROW PEDIATRIC HOSPITALISTS
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 · Pediatrics 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.