Eaton Rapids Medical Center

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

EATON RAPIDS MEDICAL CENTER

Practice address

1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223

Phone

(517) 663-9403

Fax

(517) 663-8615

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

EATON RAPIDS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Carolyn Shaw

Title

Provider Enrollment and Med Staff

Phone

(517) 663-9446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1891609806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271952",
            "telephone_number": "517-663-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 CHARLEVOIX DR STE 100",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372223",
            "telephone_number": "517-663-9403",
            "fax_number": "517-663-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON RAPIDS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EATON RAPIDS MEDICAL CENTER",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT AND MED STAFF",
        "authorized_official_telephone_number": "517-663-9446"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Dionise
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• Nicole East
• Edward D. Ball D.O., P.C.
• Edward Troshak DDS, PC
• Edward W. Sparrow Hospital Association (University of Michigan Health-Sparrow Grand Ledge Pharmacy Plus)
• Edward W. Sparrow Hospital Association (Sparrow Pharmacy Plus #4)
• Elite Anesthesia Services, PLLC

• Neurological Surgery Physician in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.