EDWARD W SPARROW HOSPITAL ASSOCIATION (NPI# 1780074088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780074088 |
| Entity Type | Organization |
| Organization Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Other Organization Name | SPARROW CHILDREN'S MULTI-DISCIPLINARY SPECIALTY CLINIC |
| Practice Address |
1200 E Michigan Ave Ste 460 Lansing MI 48912-1897 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5173645490 |
| Practice Fax Number | 5173645499 |
| Mailing Telephone | 5173646253 |
| Mailing Fax Number | 5173646204 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | DIANE S GALLUPS (DIRECTOR, PROFESSIONAL BILLING SERV) |
| Authorized Official Telephone | 5173646251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1060000091 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sparrow Children's Multi-Disciplinary Specialty Clinic | 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 460 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760805352 | Stephanie Grondahl | General Practice | 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897 | 2014-02-02 |
| 1932713294 | Whitney Beam | Nurse Practitioner | 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897 | 2020-09-03 |
| 1952855777 | Benny Lopez | Physician Assistant | 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897 | 2016-08-10 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1740790146 | Theo Pediatric Health | Pediatrics | 1219 1/2 Turner St, Lansing, MI 48906-4341 | 2017-10-11 |
| 1891216834 | Ahmad Khalil | Pediatrics | 1200 E Michigan Ave Ste 205, Lansing, MI 48912-1800 | 2017-06-29 |
| 1407386329 | Ambria Faith Jump | Pediatrics | 5303 S Cedar St Ste 205, Lansing, MI 48911-3800 | 2017-06-13 |
| 1114478419 | Jerry Joe Evans | Pediatrics | 610 W Ottawa St, Apt. 906, Lansing, MI 48933-1056 | 2016-10-21 |
| 1730561366 | Christine Sims | Pediatrics | 7335 Westshire Dr Ste 102, Lansing, MI 48917-9703 | 2015-06-19 |
| 1548609225 | Stephanie Anne Klein | Pediatrics | 2414 Lake Lansing Road, Lansing, MI 48912 | 2013-06-17 |
| 1679882005 | Bhagya Mysore Venkatesh | Pediatrics | 901 East Michigan Avenue, Lansing, MI 48910 | 2010-10-04 |
| 1205147451 | Erica Lillian Still | Pediatrics | 15673 Wood Rd, Lansing, MI 48906-1740 | 2010-06-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| 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.