EDWARD W. SPARROW HOSPITAL ASSOCIATION (NPI# 1043264559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043264559 |
| Entity Type | Organization |
| Organization Name | EDWARD W. SPARROW HOSPITAL ASSOCIATION |
| Other Organization Name | SPARROW MEDICAL GROUP WEST |
| Practice Address |
7335 Westshire Dr Suite 100 Lansing MI 48917-9703 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5176222788 |
| Practice Fax Number | 5176220460 |
| Mailing Telephone | 5176222788 |
| Mailing Fax Number | 5176220460 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-06-21 |
| Authorized Official Name | MRS. DIANE S GALLUPS (DIRECTOR PROFESSIONAL BILLING) |
| Authorized Official Telephone | 5173646251 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDWARD W. SPARROW HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GROUP NUMBER | 080B310210 | 01 |
| Other Name | Type Code |
|---|---|
| Sparrow Medical Group West | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1205213014 | Edward W. Sparrow Hospital Association | Clinic/Center | 716 N Clippert St, Lansing, MI 48912-4733 | 2015-04-30 |
| 1437341195 | Edward W. Sparrow Hospital Association | Family Medicine | 133 W Lansing Rd, Potterville, MI 48876-9601 | 2007-08-15 |
| 1750464780 | Edward W. Sparrow Hospital Association | Pharmacy | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2006-10-23 |
| 1477509313 | Edward W. Sparrow Hospital Association | Clinic/Center | 2682 E Grand River Ave, East Lansing, MI 48823-5608 | 2006-05-25 |
| 1164478822 | Edward W. Sparrow Hospital Association | Hospitalist | 1215 E Michigan Ave Fl 7, Lansing, MI 48912-1811 | 2006-05-25 |
| 1811943582 | Edward W. Sparrow Hospital Association | Family Medicine | 1200 E Michigan Ave Ste 345, Lansing, MI 48912-1894 | 2006-05-25 |
| 1053366419 | Edward W. Sparrow Hospital Association | Obstetrics & Gynecology | 1100 W Saginaw St, Suite 630, Lansing, MI 48915-2033 | 2006-05-24 |
| 1083669881 | Edward W. Sparrow Hospital Association | Family Medicine | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2006-05-23 |
| 1083668545 | Edward W. Sparrow Hospital Association | Family Medicine | 800 E Columbia St, Mason, MI 48854-1381 | 2006-05-20 |
| Street Address |
7335 WESTSHIRE DR SUITE 100 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129527 | Jennifer Marie Boote | Pediatrics | 7335 Westshire Dr, #102, Lansing, MI 48917-9703 | 2008-06-30 |
| 1043472665 | Robert Francis Root | Pediatrics | 7335 Westshire Dr, #102, Lansing, MI 48917-9703 | 2008-06-25 |
| 1679694582 | Richard James Allen | Family Medicine | 7335 Westshire Dr, Ste 100, Lansing, MI 48917-9703 | 2007-04-02 |
| 1245308857 | Jessica L Lutz | Family Medicine | 7335 Westshire Dr, Lansing, MI 48917-9703 | 2006-12-01 |
| 1417044967 | Monika Marie Leitgeb | Family Medicine | 7335 Westshire Dr, Suite 100, Lansing, MI 48917-9703 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1952783847 | Ravinder Singh Dhillon | Family Medicine | 3001 Trappers Cove Trl, Apt 3035 1a, Lansing, MI 48910-5770 | 2015-06-26 |
| 1407272206 | Suma Thomas | Family Medicine | 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912-3757 | 2014-03-17 |
| 1881955920 | Abigail Urish | Family Medicine | 1200 E Michigan Ave Ste 245-c, Lansing, MI 48912-1800 | 2012-06-05 |
| 1598077216 | Gregory A Lawson | Family Medicine | 1200 E Michigan Ave, Ste 245, Lansing, MI 48912-1897 | 2010-07-10 |
| 1235441528 | Kristy Anne Beckholt | Family Medicine | 1215 E Michigan Ave 7th Fl Tower West, Lansing, MI 48912 | 2010-07-02 |
| 1790949667 | Luis G Valle | Family Medicine | 500 E Thomas St, Lansing, MI 48906-6118 | 2008-07-10 |
| 1174708622 | Peter D Cotey | Family Medicine | Lansing Va Cboc, 2025 S Washington Ave, Lansing, MI 48910 | 2008-01-03 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.