EDWARD W SPARROW HOSPITAL ASSOCIATION (NPI# 1124502851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124502851 |
| Entity Type | Organization |
| Organization Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Other Organization Name | SPARROW MEDICAL GROUP UROLOGY |
| Practice Address |
1200 E Michigan Ave Ste 655 Lansing MI 48912-1837 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5173645655 |
| Practice Fax Number | 5173645654 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | DIANE SUE GALLUPS (DIRECTOR) |
| Authorized Official Telephone | 5172536337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sparrow Medical Group Urology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1140 E Michigan Ave Ste 100, Lansing, MI 489121806 | 5173645655 | 5173645655 |
| 245 S 2nd St, Carson City, MI 488119650 | 5173645655 | 5173645654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659802 | Edward W Sparrow Hospital Association | Anesthesiology | 1200 E Michigan Ave Ste 101, Lansing, MI 48912-1800 | 2019-10-03 |
| 1487154290 | Edward W Sparrow Hospital Association | Internal Medicine | 1200 E Michigan Ave Ste 510, Lansing, MI 48912-1899 | 2018-02-19 |
| 1437693108 | Edward W Sparrow Hospital Association | Pharmacy | 2909 E Grand River Ave Ste 101, Lansing, MI 48912-4300 | 2016-12-14 |
| 1700129509 | Edward W Sparrow Hospital Association | Internal Medicine | 2900 Hannah Blvd Ste B107, East Lansing, MI 48823-5374 | 2013-03-29 |
| 1760710719 | Edward W Sparrow Hospital Association | General Acute Care Hospital | 1140 E. Michgan Ave, Suite 400, Lansing, MI 48912 | 2009-12-03 |
| 1124654793 | Edward W Sparrow Hospital Association | Family Medicine | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2020-03-16 |
| 1245737402 | Edward W Sparrow Hospital Association | Internal Medicine | 1140 E Michigan Ave Ste 400, Lansing, MI 48912 | 2018-04-12 |
| 1629517420 | Edward W Sparrow Hospital Association | Radiology | 1215 E Michigan Ave, West Tower 4th Floor, Lansing, MI 48912-1811 | 2017-02-14 |
| 1346609930 | Edward W Sparrow Hospital Association | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2016-02-11 |
| 1457744666 | Edward W Sparrow Hospital Association | Surgery | 1200 E Michigan Ave Ste 775, Lansing, MI 48912-1838 | 2015-03-12 |
| Street Address |
1200 E MICHIGAN AVE STE 655 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346254406 | Marc D. Basson | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2006-07-27 |
| 1013567619 | Kara Spenski | Nurse Practitioner | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2019-09-16 |
| 1730749284 | Matthew Habina | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2019-06-17 |
| 1992365746 | Eric J Weiler | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2019-06-14 |
| 1861913683 | Maryam Sadeghi | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2017-06-30 |
| 1578083259 | Eric Mckeever | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2017-06-22 |
| 1245769876 | Mohammad Ali Torabi | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2017-06-07 |
| 1841642899 | Marta Makuszewski Lavery | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2016-07-01 |
| 1033560875 | Thomas Murickan | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2016-06-22 |
| 1770933772 | Justin Paul Schultz | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 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 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853120 | Terrence R Frank | Urology | 2815 S Pennsylvania Ave, Suite 103, Lansing, MI 48910-3496 | 2005-07-07 |
| 1104485986 | Ross Voelker | Urology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-06-06 |
| 1003475765 | Alexander Michael Shannon | Urology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-06-06 |
| 1760663512 | Terrence R Frank Do PC | Urology | 2815 S Pennsylvania Ave, Suite 103, Lansing, MI 48910-3496 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
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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.