EDWARD W SPARROW HOSPITAL ASSOCIATION (NPI# 1457744666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457744666 |
| Entity Type | Organization |
| Organization Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Other Organization Name | SPARROW MEDICAL GROUP GENERAL SURGERY |
| Practice Address |
1200 E Michigan Ave Ste 775 Lansing MI 48912-1838 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5173645209 |
| Practice Fax Number | 5173646204 |
| Mailing Telephone | 5173646253 |
| Mailing Fax Number | 5173646204 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | DIANE S GALLUPS (DIRECTOR, PROFESSIONAL BILLING) |
| Authorized Official Telephone | 5173646251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1060000091 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sparrow Medical Group General Surgery | Doing Business As Name - Organization |
| 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 |
| 1124502851 | Edward W Sparrow Hospital Association | Urology | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2018-09-19 |
| 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 |
| Street Address |
1200 E MICHIGAN AVE STE 775 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609217660 | Vicki M Lainesse | Nurse Practitioner | 1200 E Michigan Ave Ste 775, Lansing, MI 48912-1838 | 2013-07-08 |
| 1417436676 | Bethanie Lynn Mccullough | Nurse Practitioner | 1200 E Michigan Ave Ste 775, Lansing, MI 48912-1838 | 2018-08-08 |
| 1659867752 | Jennifer Jeckel | Nurse Practitioner | 1200 E Michigan Ave Ste 775, Lansing, MI 48912-1838 | 2018-07-02 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1457673881 | Anne Evelyn Missavage Md PC | Surgery | 3955 Patient Care Way Ste A, Lansing, MI 48911-4271 | 2010-02-26 |
| 1194953976 | Jordan Neff Baker | Surgery | 401 W. Greenlawn Ave, Lansing, MI 48910 | 2009-06-30 |
| 1851490205 | James E. Mcgillicuddy II | Surgery | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2006-09-22 |
| 1487665519 | John Paul Kepros | Surgery | Sparrow Hospital - Trauma Services, 1215 E Michigan Ave, Lansing, MI 48912 | 2006-08-11 |
| 1346254406 | Marc D. Basson | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2006-07-27 |
| 1245257914 | Clsudio Rebosura Decena | Surgery | 117 Rock Creek Loop, Lansing, KS 66043-6211 | 2006-07-17 |
| 1598749194 | Mark I Menning | Surgery | 737 N Grand Ave, Lansing, MI 48906-5160 | 2005-12-06 |
| 1710961305 | Daniel C Coffey | Surgery | 1627 Lake Lansing Rd Ste 100, Lansing, MI 48912-3788 | 2005-12-06 |
| 1205817749 | Suzanne Marie Hanses | Surgery | 4911 W St Joe Hwy, Ste 102, Lansing, MI 48917-4088 | 2005-11-10 |
| 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.