Edward W. Sparrow Hospital Association
Organization Active NPI Psychiatry Physician · Lansing, MI
NPI 1811942436 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1811942436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1210 W Saginaw St
2 ND Floor
Lansing, MI 48915-1927 - Phone
- (517) 364-7700
- Fax
- (517) 364-7701
- NPI assigned
- May 23, 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
Practitioners 119
-
Farha Zaman Abbasi, M.D.
-
John A Baker, MD
-
Dale A D'Mello, M.D.
-
Lindsey Ann Davis, LMSW, CBIS
-
Charletta Dennis, M.D.
-
Sharon Kay Dodd Kimmey, M.D.
-
Julie Anne Dumont, LMSW
-
Kenneth Michael Gorney, PA-C
-
Jesse M Guasco, DO
-
Cynthia J. Haines, CSW
-
Jose Javier Herrera, M.D.
-
Venkata R Jasty, MD
-
Samantha Fugate Kennedy, D.O.
-
Nicholas Miguel Fielding Kogut, LMSW, CAADC
-
Alyse F Ley, D.O.
-
Dunyue Lu, M.D.
-
David E Lyon, DO
-
Jed Gary Magen, D.O.
-
Sarah Malik, MD
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
- Sparrow Health System
Locations (25 of 33)
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
138 Service Rd
Ste A108
East Lansing, MI 48824
4530 S Hagadorn Rd
Ste A
East Lansing, MI 48823
Phone (517) 333-8414
2900 Hannah Blvd
Ste B106
East Lansing, MI 48823
2035 Asher Ct
Ste 200
East Lansing, MI 48823
Phone (517) 337-8580
2900 Hannah Blvd
Ste 216
East Lansing, MI 48823
Phone (517) 364-8001
11017 W 3rd St
Fowler, MI 48835
Phone (517) 593-2525
2040 Aurelius Rd
Holt, MI 48842
Phone (517) 694-2217
205 S Dexter St
Ionia, MI 48846
Phone (517) 482-7246
2622 Heartland Blvd
Ionia, MI 48846
Phone (616) 522-0265
114 N Main St
Ithaca, MI 48847
Phone (989) 875-4166
1210 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-2404
1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610
2909 E Grand River Ave
Ste 207
Lansing, MI 48912
1215 E Michigan Ave
Ste 345
Lansing, MI 48912
1200 E Michigan Ave
Fl 1
Lansing, MI 48912
3215 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 377-3770
1215 E Michigan Ave
#5
Lansing, MI 48912
1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440
1210 E Michigan Ave
#2
Lansing, MI 48912
2508 S Cedar St
Lansing, MI 48910
Phone (517) 372-5520
1200 E Michigan Ave
Ste 510
Lansing, MI 48912
Phone (517) 364-5184
406 E Elm St
Lansing, MI 48912
1140 E Michigan Ave
Ste A
Lansing, MI 48912
3301 E Michigan Ave
Lansing, MI 48912
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
1210 W Saginaw St
2 ND Floor
Lansing, MI 48915-1927
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260C310800 | Other | MI | BCBS GROUP NUMBER |
Other names
- Sparrow Behavioral Health Services
- University of Michigan Health-Sparrow Behavioral Health
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 · Psychiatry 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.