Edward W. Sparrow Hospital Association
Organization Active NPI Obstetrics & Gynecology Physician · Lansing, MI
NPI 1811943582 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1811943582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1200 E Michigan Ave Ste 345
Lansing, MI 48912-1894 - Phone
- (517) 364-5610
- Fax
- (517) 364-5614
- 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
Practitioners 35
-
Ali Alhousseini, M.D.
-
Anita R Avery, MD
-
Mary Lynne Barringer, WHNP-BC
-
Leigh Behring, M.D.
-
Sara Cramton, MD
-
Elaine C Duplessis, M.D.
-
Alicia Michelle Filler, D.O.
-
Jessica Frost, MD
-
Jessica Diane Hamel, FNP-C
-
Shimia Isaac, D.O.
-
Valerie Levitt, MD
-
Kelly Kay Llewelyn, D.O.
-
Nicole McGraw, D.O.
-
Amber Lee McLean, DO
-
Brian William Nielsen, M.D.
-
Randolph Lester Pearson, M.D.
-
Caitlin M. Schmidt, D.O.
-
Nicole Lynn Shaheen, CNM
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Surgery Physician |
208600000X |
Addresses
Primary practice location
1200 E Michigan Ave Ste 345
Lansing, MI 48912-1894
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-3008
Phone (517) 364-6253
Other practice location 1
1200 E Michigan Ave Ste 325
Lansing, MI 48912-1894
Phone (517) 364-5735
Other practice location 2
901 S Oakland St Ste 102
Saint Johns, MI 48879-2255
Phone (517) 364-5735
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160C363170 | Other | MI | BCBS GROUP NUMBER |
Other names
- Sparrow Women's Center
- University of Michigan Health-Sparrow Maternal Fetal Medicine
- University of Michigan Health-Sparrow Women's 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 · Obstetrics & Gynecology 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 26, 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.