| 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  |