SPARROW IONIA HOSPITAL (NPI# 1588747075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588747075 |
| Entity Type | Organization |
| Organization Name | SPARROW IONIA HOSPITAL |
| Other Organization Name | SPARROW IONIA HOSPITAL PHYSICIANS |
| Practice Address |
3565 S State Rd Ionia MI 48846-9416 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 6165231400 |
| Practice Fax Number | 6165231429 |
| Mailing Telephone | 5173646253 |
| Mailing Fax Number | 5173646204 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-11-09 |
| 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 |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | AJ076427 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | RH014682 | MI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | JP038199 | MI | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1588747075 | 05 | |
| MI | BCBS OF MI | 700C46006 | 01 |
| Other Name | Type Code |
|---|---|
| SPARROW IONIA HOSPITAL PHYSICIANS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851669055 | Sparrow Ionia Hospital | General Practice | 848 E Lincoln Ave, Ionia, MI 48846-1314 | 2011-12-02 |
| 1144382250 | Sparrow Ionia Hospital | Family Medicine | 1044 Hayden Road, Muir, MI 48860 | 2006-12-14 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1336220342 | Sparrow Ionia Hospital | Obstetrics & Gynecology | 58 N. Bridge St., Saranac, MI 48881 | 2006-10-17 |
| 1568550655 | Sparrow Ionia Hospital | Physical Medicine & Rehabilitation | 429 W Lincoln Ave, Suite H, Ionia, MI 48846-1144 | 2006-10-11 |
| 1851849392 | Sparrow Ionia Hospital | Clinic/Center | 107 N Bridge St, Saranac, MI 48881-5121 | 2016-09-13 |
| 1811380066 | Sparrow Ionia Hospital | Family Medicine | 107 N Bridge St, Saranac, MI 48881-5121 | 2015-03-12 |
| 1962706523 | Sparrow Ionia Hospital | Pharmacy | 3565 S State Rd, Ionia, MI 48846-9416 | 2010-12-22 |
| 1790980712 | Sparrow Ionia Hospital | Family Medicine | 550 E Washington St, Ionia, MI 48846-2202 | 2007-06-19 |
| 1013079128 | Sparrow Ionia Hospital | Pediatrics | 550 E Washington St, Ionia, MI 48846-2202 | 2006-12-14 |
| Street Address |
3565 S STATE RD |
| City | IONIA |
| State | MI |
| Zip Code | 48846-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689630238 | Kimberly Fewins | Anesthesiology | 3565 S State Rd, Ionia, MI 48846-9416 | 2006-04-24 |
| 1164977831 | Aimee Seaman | Nurse Practitioner | 3565 S State Rd, Ionia, MI 48846-9416 | 2016-08-23 |
| 1962706523 | Sparrow Ionia Hospital | Pharmacy | 3565 S State Rd, Ionia, MI 48846-9416 | 2010-12-22 |
| 1891879029 | Sparrow Ionia Hospital | Surgery | 3565 S State Rd, Ionia, MI 48846-9416 | 2006-10-24 |
| 1710900659 | Sparrow Ionia Hospital | Nurse Anesthetist, Certified Registered | 3565 S State Rd, Ionia, MI 48846-9416 | 2006-07-25 |
| 1700820065 | Sparrow Ionia Hospital | General Acute Care Hospital | 3565 S State Rd, Ionia, MI 48846-9416 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728003 | William Thomas Franklin-cromwell | Social Worker | 4832 E Bluewater Hwy, Ionia, MI 48846 | 2018-08-03 |
| 1992244974 | Jane Sielski | Nurse Practitioner | 2776 S State Rd # M66, Ionia, MI 48846 | 2017-02-23 |
| 1184074676 | Rachael Greenman | Technician, Other | 321 Colby St, Ionia, MI 48846 | 2016-06-15 |
| 1093059388 | Alicia Lynn Ballard | Orthopaedic Surgery | 537 W. Main St Suite 102, Ionia, MI 48846 | 2012-11-27 |
| 1538301643 | Places LLC | Registered Nurse | 910 E Lincoln, Ionia, MI 48846 | 2009-04-03 |
| 1285856419 | Goodwill Optical Inc | Optometrist | 153 W Sprague Rd, Ionia, MI 48846 | 2007-05-03 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1841364833 | Sandra Irene Herron | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1407920531 | Brooke Lynne Cheney | Physical Therapist | 3751 S State Road, Ionia, MI 48846 | 2006-11-20 |
| 1356415483 | Grand River Physical Therapy Specialists PC | Physical Therapist | 3751 South State Rd, Ionia, MI 48846 | 2006-11-20 |
| Find all providers in zip 48846 | ||||
| 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 |
|---|---|---|---|---|
| 1639277452 | Steven Paul Johnson | Emergency Medicine | 910 E Lincoln Ave, Ionia, MI 48846-1393 | 2006-09-20 |
| 1790883189 | Scott Holmes | Emergency Medicine | 479 Lafayette St, Ionia, MI 48846-1834 | 2006-09-20 |
| 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 | ||||
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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.