Edward W Sparrow Hospital Association
Organization Active NPI Family Medicine Physician · Okemos, MI
NPI 1952044729 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1952044729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EDWARD W SPARROW HOSPITAL ASSOCIATION
- Practice address
- 2446 Jolly Rd Ste B
Okemos, MI 48864-3514 - Phone
- (517) 253-6308
- NPI assigned
- Apr 19, 2022
- 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 1
Practitioners 8
-
Jessica Anne Bates, AGNP
-
Brittany Glynn, LMSW
-
Jonathan Chan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080219000111 | MI | Part B Supplier - Clinic/Group Practice | 6709799166 |
Receives reassigned benefits from 26 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Owosso, MI; Mason, MI; Okemos, MI |
National Provider Directory
- Part of
- Sparrow Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2446 Jolly Rd Ste B
Okemos, MI 48864-3514
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 253-6320
Other names
- Sparrow Medical Group - Okemos Jolly Rd
- University of Michigan Health-Sparrow Okemos Jolly Road Primary Care
- University of Michigan Health-Sparrow Primary Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mychart.sparrow.org | Health Information Exchange (HIE) |
Other providers in Okemos, MI
- Corinn Dykes
- Rhonda M Earley
- Eric Lee Eby
- Mira Edgerton
- Jennifer Edsall
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Halle Egan
- Ariana Eggleston
- Katie El-Behairy
All providers in Okemos, MI · Family Medicine 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 27, 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.