SPARROW CLINTON HOSPITAL (NPI# 1396827952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396827952 |
| Entity Type | Organization |
| Organization Name | SPARROW CLINTON HOSPITAL |
| Practice Address |
805 S Oakland St Saint Johns MI 48879-2253 |
| Practice Telephone | 9892246881 |
| Practice Fax Number | 9892273347 |
| Mailing Telephone | 9892246881 |
| Mailing Fax Number | 9892273347 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | EDWARD E BRUUN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9892273360 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM BILL PIN | 0A960020 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326138173 | Sparrow Clinton Hospital | Nurse Anesthetist, Certified Registered | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-13 |
| 1861582611 | Sparrow Clinton Hospital | Pharmacy | 901 S Oakland St, Saint Johns, MI 48879-2200 | 2006-10-13 |
| 1093809824 | Sparrow Clinton Hospital | General Acute Care Hospital | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-03 |
| 1306893078 | Sparrow Clinton Hospital | Clinic/Center | 901 S Oakland St, Saint Johns, MI 48879-2200 | 2006-05-28 |
| Street Address |
805 S OAKLAND ST |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316923428 | Edward E Craven | Emergency Medicine | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2005-12-20 |
| 1578035895 | Richard Neil Mccoy | Nurse Practitioner | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2018-12-27 |
| 1326138173 | Sparrow Clinton Hospital | Nurse Anesthetist, Certified Registered | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-13 |
| 1235223181 | Gregory R Glatz | Emergency Medicine | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-03 |
| 1023102803 | Monica S Johnson | Emergency Medicine | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-03 |
| 1093809824 | Sparrow Clinton Hospital | General Acute Care Hospital | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316923428 | Edward E Craven | Emergency Medicine | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2005-12-20 |
| 1235223181 | Gregory R Glatz | Emergency Medicine | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-03 |
| 1023102803 | Monica S Johnson | Emergency Medicine | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2006-10-03 |
| 1649248998 | Werner Hollstein | Emergency Medicine | 901 S Oakland St Ste 201, Saint Johns, MI 48879-2200 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
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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.