NPIMap

Organization Active NPI

Sparrow Ionia Hospital

Doing business as Sparrow Ionia Hospital Specialty Clinic

  • General Practice Physician
  • Ionia, MI
National Provider Identifier
1851669055
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SPARROW IONIA HOSPITAL
Doing business as
Sparrow Ionia Hospital Specialty Clinic
Practice address
848 E Lincoln Ave
Ionia, MI 48846-1314
Phone
(616) 523-1400
Fax
(616) 523-1429
NPI assigned
Dec 2, 2011
Last updated
Mar 5, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW IONIA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
William Roeser
Title
Ceo
Phone
(616) 523-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

848 E Lincoln Ave
Ionia, MI 48846-1314

Mailing address

PO Box 1001
520 E Washington St
Ionia, MI 48846-6001
Phone (616) 523-1400

Other names 1

  • SPARROW IONIA HOSPITAL SPECIALTY CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ionia County Memorial H11 organizations share this tax ID, including this one
Part of
Ionia County Memorial H

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1851669055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "address_2": "520 E WASHINGTON ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488466001",
            "telephone_number": "616-523-1400",
            "fax_number": "616-523-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461314",
            "telephone_number": "616-523-1400",
            "fax_number": "616-523-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW IONIA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW IONIA HOSPITAL",
        "enumeration_date": "2011-12-02",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "ROESER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-523-1400"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPARROW IONIA HOSPITAL SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.