| Edward W Sparrow Hospital Association | |
|
2040 Aurelius Rd Ste 22 Holt MI 48842-1367 | |
| (517) 694-2217 | |
| (176) 942-6555 |
| Full Name | Edward W Sparrow Hospital Association |
|---|---|
| Speciality | Family Medicine |
| Location | 2040 Aurelius Rd Ste 22, Holt, 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) 364-7999 | Edward W Sparrow Hospital Association 2040 Aurelius Rd Ste 22 Holt MI 48842-1367 Ph: (517) 694-2217 |
| NPI Number | 1437400413 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20130412000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437400413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amanda L Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235354804 PECOS PAC ID: 6608962196 Enrollment ID: I20071015000101 |
| 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 | Jill L Stephenson-mccole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831290402 PECOS PAC ID: 3476589425 Enrollment ID: I20090819000523 |
| Provider Name | Dorothy Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760827851 PECOS PAC ID: 9537303110 Enrollment ID: I20161017001311 |
| Provider Name | Sara-bethany Weir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548755051 PECOS PAC ID: 7416204060 Enrollment ID: I20191009002543 |
| Provider Name | Brittany Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902385743 PECOS PAC ID: 4789097825 Enrollment ID: I20210108000683 |
| Provider Name | Mary E Roelofs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912389453 PECOS PAC ID: 2264819630 Enrollment ID: I20220525000094 |
| Provider Name | Laura Leigh Broughton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053071589 PECOS PAC ID: 0648647404 Enrollment ID: I20221108000421 |
Msu Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5091 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2144 Fax: 517-694-7469 | |
Dr. Linda Fisher-williams, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2316 Fax: 517-694-8177 | |
Bio-care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1778 Holloway Dr, Suite A, Holt, MI 48842 Phone: 517-694-5000 Fax: 517-694-5051 | |
Holt Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4378 Holt Rd, Holt, MI 48842 Phone: 517-694-1466 Fax: 517-694-5142 | |
Lansing Cardiovascular Consultants Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2380 Cedar St, Holt, MI 48842 Phone: 517-349-3303 Fax: 517-349-4374 |