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Edward W. Sparrow Hospital Association

Family Medicine in Dewitt, MI. Organization (NPI-2).

NPI number1821041013
StatusActive
Last updated in NPPESMar 26, 2024

Details

NPI
1821041013
Entity type
Organization (NPI-2)
Legal business name
Edward W. Sparrow Hospital Association
Organization subpart
Yes
Enumeration date
May 18, 2006
Certification date
Mar 26, 2024
Last updated
Mar 26, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Sparrow Medical Group Dewitt (Doing Business As)
  • University Of Michigan Health-Sparrow Primary Care (Doing Business As)
  • University Of Michigan Health-Sparrow Dewitt Primary Care (Doing Business As)

Practice location

13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036

Phone 517-669-9109 · Fax 517-669-9839

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Phone 517-669-9109 · Fax 517-669-9839

Authorized official

Misty Gunter Russian
Supervisor, Provider Enrollment
5172536308

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Dewitt, MI

All 14 Family Medicine Physician providers in Dewitt · All 234 providers in Dewitt

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