Edward W. Sparrow Hospital Association

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1060000091 Issued in MI

Legal business name

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Doing business as

Sparrow Cardiology
University of Michigan Health-Sparrow Heart & Vascular

Practice address

1215 E Michigan Ave
Lansing, MI 48912-1811

Phone

(517) 364-1000

NPI assigned

Dec 10, 2015

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SPARROW HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Misty Gunter Russian

Title

Supervisor, Provider Enrollment

Phone

(517) 253-6308

Specialties & licenses 1

Addresses

Other names 2

• Sparrow Cardiology Doing business as
• University of Michigan Health-Sparrow Heart & Vascular Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Edward W Sparrow Hospital Association

  dba Sparrow Medical Group Ob/Gyn

  • Obstetrics & Gynecology Physician
  • Lansing, MI
  • NPI 1033513148

  O20040311001138

  Same enrollment
• Edward W Sparrow Hospital Association

  dba SMG Nephrology

  • Nephrology Physician
  • Lansing, MI
  • NPI 1568867190

  O20040311001138

  Same enrollment
• Edward W. Sparrow Hospital Association

  dba Sparrow CRNA Services

  • Anesthesiology Physician
  • Lansing, MI
  • NPI 1366498107

  O20040311001138

  Same enrollment
• Edward W. Sparrow Hospital Association

  dba Sparrow OB Triage

  • Advanced Practice Midwife
  • Lansing, MI
  • NPI 1699168849

  O20040311001138

  Same enrollment
• Edward W. Sparrow Hospital Association

  dba Sparrow Lansing OB GYN Associates

  • Obstetrics & Gynecology Physician
  • Lansing, MI
  • NPI 1942256607

  O20040311001138

  Same enrollment

Part of

Sparrow Health System

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee Autumn Halliday, P.A-C

  • Medical Physician Assistant
  • Lansing, MI
  • NPI 1740469360
  NPD
• Kristin Marie Worgess

  • Physician Assistant
  • Detroit, MI
  • NPI 1215287776
  NPD

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1841665247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "517-364-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2015-12-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "1060000091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sparrow Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Michigan Health-Sparrow Heart & Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward W. Sparrow Hospital Association (Sparrow Medical Group North)
• Edward W. Sparrow Hospital Association (Sparrow Medical Group Plastic Surgery)
• Edward W. Sparrow Hospital Association (Sparrow Behavioral Health Services)
• Edward W. Sparrow Hospital Association (Sparrow Women's Center)
• Edward W. Sparrow Hospital Association (Sparrow Regional Children's Center)
• Edward W. Sparrow Hospital Association
• Edward W. Sparrow Hospital Association (Sparrow Pharmacy Plus #10)
• Edward W. Sparrow Hospital Association (Sparrow Lansing OB GYN Associates)
• Jennifer Edwards-Johnson, D.O
• Alicia Edwards, MD

• Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.