Sparrow Clinton Hospital

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

SPARROW CLINTON HOSPITAL

Doing business as

University of Michigan Health-Sparrow Clinton Plastic Surgery

Practice address

805 S Oakland St FL 3
Saint Johns, MI 48879-2253

Phone

(517) 253-6320

NPI assigned

Aug 3, 2022

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 3

Addresses

Other names 1

• University of Michigan Health-Sparrow Clinton Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Sparrow Clinton Hospital

  • Critical Access Hospital
  • Saint Johns, MI
  • NPI 1093809824

  O20040301000072

  Same enrollment
• Sparrow Clinton Hospital

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078

  O20040301000072

  Same enrollment

Part of

Sparrow Health System

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Glynn, LMSW

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1902385743
  NPD
• Lauren Brandy Kwasny, DO

  • Surgery Physician
  • Lansing, MI
  • NPI 1417303108
  NPD
• Tanna S. McGee, PA

  • Physician Assistant
  • East Lansing, MI
  • NPI 1871505644
  NPD
• Anna Margaret O'Rourke, LMSW, CAADC

  • Clinical Social Worker
  • Dewitt, MI
  • NPI 1548812266
  NPD
• Andrew Michael Zwyghuizen, M.D.

  • Plastic Surgery Physician
  • Ann Arbor, MI
  • NPI 1861514002
  NPD
• Thais Araujo Fortes, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1710399902
  NPD

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1922735539",
    "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": "517-253-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST FL 3",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253",
            "telephone_number": "517-253-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW CLINTON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "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": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-Sparrow Clinton Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sparrow Clinton Hospital
• Sparrow Clinton Hospital
• Sparrow Clinton Hospital
• Sparrow Clinton Hospital
• Sparrow Clinton Hospital
• Sparrow Community Care
• Spicer Counseling Services, PLLC
• Matthew John Spiess, AT
• Cheryl Lynn Spleet, PT
• Barbara Sue Splitt, RPH

• Plastic and Reconstructive Surgery Physician in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.