| Edward W. Sparrow Hospital Association | |
|
2446 Jolly Rd Ste B Okemos MI 48864-3514 | |
| (517) 253-5530 | |
| (517) 253-5535 |
| Full Name | Edward W. Sparrow Hospital Association |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2446 Jolly Rd Ste B, Okemos, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (REGIONAL MGR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward W. Sparrow Hospital Association 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6200 | Edward W. Sparrow Hospital Association 2446 Jolly Rd Ste B Okemos MI 48864-3514 Ph: (517) 253-5530 |
| NPI Number | 1205213014 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 09/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205213014 | NPI | - | NPPES |
| 1205213014 | Medicaid | MI | |
| 0C30919 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1060000091 (Michigan) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Vlsr Madireddy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4129 Okemos Rd, Ste 6, Okemos, MI 48864 Phone: 517-803-4544 Fax: 517-803-4509 | |
John D Wenzel Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1667 Hamilton Rd, Okemos, MI 48864 Phone: 517-349-9550 Fax: 517-349-7650 | |
Okemos Primary Care Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2104 Jolly Rd, Suite 290, Okemos, MI 48864 Phone: 517-708-7283 Fax: 517-708-7294 | |
Meridian Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2422 Jolly Rd Ste 100, Okemos, MI 48864 Phone: 517-618-9507 | |
Orlando Matias Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Jolly Rd, Suite 290, Okemos, MI 48864 Phone: 517-220-4507 Fax: 517-575-6869 | |
David Neff, Do, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3493 Woods Edge, Okemos, MI 48864 Phone: 517-290-1079 Fax: 517-481-3765 |