Organization · Type 2 NPI

Edward W. Sparrow Hospital Association

Pediatric Critical Care Medicine Physician · Lansing, MI

NPI number 1285949461 Active

Practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Call (517) 364-2117 Map

Fax (517) 364-3994

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Pediatric Critical Care Medicine Physician Primary	2080P0203X	None listed

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

706 other providers at this address

NPI record

NPI: 1285949461
Entity type: Organization (Type 2)
Issued: Aug 12, 2010
Last updated: Mar 27, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

<unavail>
Sparrow Pediatric Intensivist · doing business as
Sparrow Pediatric Intensivist · doing business as
University of Michigan Health-Sparrow Pediatric Critical Care · doing business as

Authorized official

Misty Gunter Russian
Supervisor, Provider Enrollment
(517) 253-6308

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285949461

Edward W. Sparrow Hospital Association's National Provider Identifier is 1285949461, issued on Aug 12, 2010. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Lansing, MI. The record was last updated on Mar 27, 2024.