| Edward W Sparrow Hospital Association | |
|
2900 Hannah Blvd Ste 104 East Lansing MI 48823-5380 | |
| (517) 364-8000 | |
| (517) 364-8001 |
| Full Name | Edward W Sparrow Hospital Association |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 Hannah Blvd Ste 104, East Lansing, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward W Sparrow Hospital Association 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 253-6320 | Edward W Sparrow Hospital Association 2900 Hannah Blvd Ste 104 East Lansing MI 48823-5380 Ph: (517) 364-8000 |
| NPI Number | 1124654793 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20200827000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124654793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295830792 PECOS PAC ID: 7911096813 Enrollment ID: I20071129000577 |
| Provider Name | David W Luginbill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275598971 PECOS PAC ID: 9032263702 Enrollment ID: I20090814000043 |
| Provider Name | Marissa A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649431867 PECOS PAC ID: 8022157528 Enrollment ID: I20091123000148 |
| Provider Name | Diane M Mater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932316114 PECOS PAC ID: 3375735194 Enrollment ID: I20101012000043 |
| Provider Name | Kenneth John Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679665319 PECOS PAC ID: 2365616141 Enrollment ID: I20111111000587 |
| Provider Name | Katherine Elizabeth Stanulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669858692 PECOS PAC ID: 3971805730 Enrollment ID: I20171121002033 |
| Provider Name | Blake Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679073092 PECOS PAC ID: 8224365028 Enrollment ID: I20190815002275 |
| Provider Name | Sean S Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235662727 PECOS PAC ID: 1355612672 Enrollment ID: I20201029001882 |
| Provider Name | Brittany Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902385743 PECOS PAC ID: 4789097825 Enrollment ID: I20210108000683 |
| Provider Name | Danielle E Mugerian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962996470 PECOS PAC ID: 6204236490 Enrollment ID: I20210609002021 |
Gary H. Dwight, D.d.s., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-333-9500 Fax: 517-333-9509 | |
Courageous Transformation Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Coolidge Rd, East Lansing, MI 48823 Phone: 517-234-2340 Fax: 517-234-2343 | |
Full Spectrum Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Abbot Rd, Suite 100, East Lansing, MI 48823 Phone: 517-333-3550 Fax: 517-333-8774 | |
Family Care Practice Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Watertower Pl, Suite 700, East Lansing, MI 48823 Phone: 517-253-0539 Fax: 517-253-0536 | |
Nuvoair Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1760 Abbey Rd Fl 2, East Lansing, MI 48823 Phone: 888-915-0624 | |
Main Street Health Partners, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 Abbey Rd Fl 2, East Lansing, MI 48823 Phone: 517-305-2470 |