| Edward W. Sparrow Hospital Association | |
|
301 Williamston Center Rd Williamston MI 48895-8502 | |
| (517) 253-5125 | |
| (517) 253-5126 |
| Full Name | Edward W. Sparrow Hospital Association |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Williamston Center Rd, Williamston, 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) 364-6253 | Edward W. Sparrow Hospital Association 301 Williamston Center Rd Williamston MI 48895-8502 Ph: (517) 253-5125 |
| NPI Number | 1205285335 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20160630001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205285335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1060000091 (Michigan) | Primary |
| Provider Name | Michael H Zaroukian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558307249 PECOS PAC ID: 5698763563 Enrollment ID: I20040501000173 |
| Provider Name | Cynthia A Buchweitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003910753 PECOS PAC ID: 7810948130 Enrollment ID: I20050203000739 |
| 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 | Kelli Lynn Isralson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235418138 PECOS PAC ID: 7618148537 Enrollment ID: I20110923000540 |
| Provider Name | Kenneth John Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679665319 PECOS PAC ID: 2365616141 Enrollment ID: I20111111000587 |
| Provider Name | Dorothea A Edmunds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982979449 PECOS PAC ID: 9931332558 Enrollment ID: I20150604002406 |
| Provider Name | Daniel J Triezenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124100698 PECOS PAC ID: 1052508298 Enrollment ID: I20170501000508 |
| Provider Name | Brittany Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902385743 PECOS PAC ID: 4789097825 Enrollment ID: I20210108000683 |
| Provider Name | Mackenzie Bruce Dickinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003301557 PECOS PAC ID: 7214284876 Enrollment ID: I20210712000113 |
| Provider Name | Gina M Delp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922667468 PECOS PAC ID: 7416335393 Enrollment ID: I20220606000822 |
| Provider Name | Jennifer Fiasky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295317840 PECOS PAC ID: 9537606694 Enrollment ID: I20240807000455 |
William T Mangan Jr, Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W Grand River Ave, Williamston, MI 48895 Phone: 517-655-3979 | |
Home, Health & Body Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Haslett Rd, Williamston, MI 48895 Phone: 517-294-7793 Fax: 517-676-5488 | |
Red Cedar Family Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1288 W Grand River Rd, Williamston, MI 48895 Phone: 517-655-7300 Fax: 517-655-7333 | |
Laberge Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2352 Hiddenview Ln, Williamston, MI 48895 Phone: 517-290-7749 |