| Sparrow Ionia Hospital | |
|
107 N Bridge St Saranac MI 48881-5121 | |
| (517) 364-6287 | |
| (517) 364-6204 |
| Full Name | Sparrow Ionia Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 N Bridge St, Saranac, 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 |
|---|---|
| Sparrow Ionia Hospital 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6287 | Sparrow Ionia Hospital 107 N Bridge St Saranac MI 48881-5121 Ph: (517) 364-6287 |
| NPI Number | 1811380066 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 0042118887 |
|---|---|
| Medicare Enrollment ID | O20150424002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811380066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1060000167 (Michigan) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Narasimha R Gundamraj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083661805 PECOS PAC ID: 0749256154 Enrollment ID: I20040908000155 |
| Provider Name | Jennifer L Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497700868 PECOS PAC ID: 7315942588 Enrollment ID: I20060921000217 |
| Provider Name | Marie D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487743902 PECOS PAC ID: 3577565423 Enrollment ID: I20070207000044 |
| Provider Name | Kristi L Demock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356554216 PECOS PAC ID: 9032256110 Enrollment ID: I20091021000792 |
| Provider Name | Steven H Edmondson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992760805 PECOS PAC ID: 5193890861 Enrollment ID: I20110211000811 |
| Provider Name | Nicole Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396096004 PECOS PAC ID: 1052562212 Enrollment ID: I20121115000570 |
| Provider Name | Gregory A Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077216 PECOS PAC ID: 8527201110 Enrollment ID: I20130829000606 |
| Provider Name | Vishal Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477866390 PECOS PAC ID: 3779721402 Enrollment ID: I20140929002648 |
| Provider Name | Lynnette A Barrineau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760429443 PECOS PAC ID: 0547306946 Enrollment ID: I20141003000228 |
| Provider Name | Daniel R Pear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659659746 PECOS PAC ID: 1355660655 Enrollment ID: I20150508000902 |
| Provider Name | Jennifer R Vanloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336211762 PECOS PAC ID: 2264753144 Enrollment ID: I20150603002319 |
| Provider Name | Jennifer L Moilanen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053669895 PECOS PAC ID: 8729309612 Enrollment ID: I20150603002652 |
| Provider Name | Tiffany L Bassily |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736153 PECOS PAC ID: 2466766803 Enrollment ID: I20150729010342 |
| Provider Name | Brittany Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902385743 PECOS PAC ID: 4789097825 Enrollment ID: I20210108000683 |
| Provider Name | Melissa Lininger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700453149 PECOS PAC ID: 0143626754 Enrollment ID: I20210908000398 |
| Provider Name | Kate Ermutlu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477290583 PECOS PAC ID: 6103204714 Enrollment ID: I20220609000819 |
| Provider Name | Dylan W Mckay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497314033 PECOS PAC ID: 8820477193 Enrollment ID: I20220616000235 |
Steven H Edmondson Do, Therese Rouse Do & Frank L Schmid Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Bridge St, Saranac, MI 48881 Phone: 616-642-9408 Fax: 616-642-6940 | |
Sparrow Ionia Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Bridge St, Saranac, MI 48881 Phone: 616-642-9408 Fax: 616-642-6940 |