EDWARD W SPARROW HOSPITAL ASSOCIATION (NPI# 1629517420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629517420 |
| Entity Type | Organization |
| Organization Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Other Organization Name | HEART AND VASCULAR CENTER - INTERVENTIONAL RADIOLOGY DEPARTMENT |
| Practice Address |
1215 E Michigan Ave West Tower 4th Floor Lansing MI 48912-1811 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5173643480 |
| Practice Fax Number | 5173643270 |
| Mailing Telephone | 5173643480 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | MRS. DIANE GALLUPS (DIRECTOR OF PROFESSIONAL BILLING) |
| Authorized Official Telephone | 5173646251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
1060000091 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heart and Vascular Center - Interventional Radiology Department | 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 |
| 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 |
1215 E MICHIGAN AVE WEST TOWER 4TH FLOOR |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869108 | Sparrow Specialty Hospital | General Acute Care Hospital | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2005-05-27 |
| 1447850136 | Jennifer Vincent | Clinical Nurse Specialist | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-10-30 |
| 1518564632 | Amanda Elaine Hazen | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-10-01 |
| 1629682026 | Akhil Sharma | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-02 |
| 1134733850 | Katie Lukovich | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-01 |
| 1316550874 | Joshua Wissner | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-08-25 |
| 1174133615 | Si Yuan Khor | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-07 |
| 1487264677 | Majid Yavari | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-03 |
| 1124638531 | Anurut Huntrakul | Student in an Organized Health Care Education/Training Program | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-01 |
| 1720697626 | Mohammad Fahad Salam | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-07-27 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188595 | Haiying Yu | Radiology | 1215 E Michigan Ave Fl 4, Lansing, MI 48912-1811 | 2013-04-08 |
| 1255603767 | Fresenius Vascular Care Lansing LLC | Radiology | 916 Mall Drive East, Lansing, MI 48917 | 2012-01-30 |
| 1710164819 | William Alfred Slater Jr. | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170221 | Mvc Clinical Practice - Mi PC | Radiology | 7125 Orchard Lake Rd Ste 120, West Bloomfield, MI 48322-3627 | 2019-05-23 |
| 1861905739 | Jacastillano Pllc | Radiology | 5310 Breeze Hill Pl, Troy, MI 48098-2725 | 2017-11-14 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1245664119 | Michigan Institute for Minimally Invasive & Vascular Therapies PC | Radiology | 2370 S Linden Rd Ste 300b, Flint, MI 48532-5429 | 2013-08-28 |
| 1144549692 | Tatulya Tiwari | Radiology | 1500 E. Medical Center Dr #b1f510k, Rad: Diagnostic Radiology, Ann Arbor, MI 48109-5030 | 2010-05-24 |
| 1811164437 | Faiz D Francis | Radiology | 903 Wesley Dr, Troy, MI 48098-5622 | 2008-05-13 |
| 1851411227 | Chutcharn Kongphanich | Radiology | 1044 Island Drive Ct Apt 104, Ann Arbor, MI 48105-2075 | 2007-03-30 |
| 1629146527 | Advanced Diagnostic Imaging Interventional & Vascular Center | Radiology | 5462 State St, Saginaw, MI 48603-3678 | 2006-12-01 |
| 1780630541 | Michael E Lulenski | Radiology | 22731 Newman St Ste 250, Dearborn, MI 48124-1930 | 2006-05-25 |
| 1922069400 | Progressive Medical Imaging & Minimally Invasive Therapeutics Plc | Radiology | 4200 Fashion Square Blvd, Saginaw, MI 48603-1291 | 2006-04-01 |
| 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.