NPIMap

Organization Active NPI

Sparrow Eaton Hospital

  • Orthopaedic Surgery Physician
  • Charlotte, MI
National Provider Identifier
1740461524
Registry record updated Feb 13, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPARROW EATON HOSPITAL
Doing business as
Sparrow Eaton Hospital
Practice address
123 Lansing St
Suite 2
Charlotte, MI 48813-1696
Phone
(517) 543-7976
Fax
(517) 543-9528
NPI assigned
Nov 20, 2007
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy Merritt
Title
Director of Physician Practices
Phone
(517) 543-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

123 Lansing St
Suite 2
Charlotte, MI 48813-1696

Mailing address

1701 Lake Lansing Rd
Suite 100
Lansing, MI 48912-3798
Phone (517) 485-0001

Other identifiers 1

IdentifierTypeStateIssuer
0B31014OtherMIBCBSM

Other names 3

  • Sparrow Eaton Hospital Doing business as
  • HAYES GREEN BEACH MEMORIAL HOSPITAL Former legal business name
  • HAYES GREEN BEACH MEMORIAL HOSPITAL ORTHOPAEDIC Other name

National Provider Directory

National Provider Directory
Tax ID family
SMG Charlotte Surgery15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1740461524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE LANSING RD",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123798",
            "telephone_number": "517-485-0001",
            "fax_number": "517-485-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING ST",
            "address_2": "SUITE 2",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-543-7976",
            "fax_number": "517-543-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW EATON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "517-543-1050"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B31014",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Eaton Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sparrow Eaton Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HAYES GREEN BEACH MEMORIAL HOSPITAL",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HAYES GREEN BEACH MEMORIAL HOSPITAL ORTHOPAEDIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.