| Sparrow Internal Medicine Residency Clinic | |
|
1200 E Michigan Ave Ste 510 Lansing MI 48912-1899 | |
| (517) 484-1381 | |
| (517) 484-3034 |
| Full Name | Sparrow Internal Medicine Residency Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 E Michigan Ave Ste 510, Lansing, 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 Internal Medicine Residency Clinic 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 253-6320 | Sparrow Internal Medicine Residency Clinic 1200 E Michigan Ave Ste 510 Lansing MI 48912-1899 Ph: (517) 484-1381 |
| NPI Number | 1487154290 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20180405001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487154290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Reynard Ronald Bouknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962444307 PECOS PAC ID: 4183609423 Enrollment ID: I20040622000181 |
| Provider Name | Heather S Laird Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174636823 PECOS PAC ID: 3375577174 Enrollment ID: I20050921000621 |
| Provider Name | Churlsun Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326160888 PECOS PAC ID: 6103925540 Enrollment ID: I20070626000115 |
| Provider Name | Gina Chacon Osorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245382795 PECOS PAC ID: 2769558964 Enrollment ID: I20080912000329 |
| Provider Name | John C Siano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689628067 PECOS PAC ID: 6002895950 Enrollment ID: I20081006000255 |
| Provider Name | Gary Ferenchick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891703666 PECOS PAC ID: 3375604911 Enrollment ID: I20081202000086 |
| Provider Name | Francesca C Dwamena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913530 PECOS PAC ID: 5799815569 Enrollment ID: I20100605000085 |
| Provider Name | Adesuwa B Olomu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041668 PECOS PAC ID: 3870623648 Enrollment ID: I20100605000097 |
| Provider Name | Laura E Freilich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912189895 PECOS PAC ID: 1759458649 Enrollment ID: I20101102000463 |
| Provider Name | Supratik Rayamajhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013172725 PECOS PAC ID: 3678750932 Enrollment ID: I20110614000389 |
| Provider Name | Nazia Naz Sultan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073757845 PECOS PAC ID: 0446428361 Enrollment ID: I20110720000687 |
| Provider Name | Muhammad Nabeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215265871 PECOS PAC ID: 5395992994 Enrollment ID: I20120905000228 |
| Provider Name | Shilpa Kavuturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831365170 PECOS PAC ID: 6002002698 Enrollment ID: I20131009001334 |
| Provider Name | Richa Tikaria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669727715 PECOS PAC ID: 1052631728 Enrollment ID: I20150520000993 |
| Provider Name | Mukta Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710299458 PECOS PAC ID: 1254565393 Enrollment ID: I20151105000638 |
| Provider Name | Jawad Vaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750600029 PECOS PAC ID: 4880828193 Enrollment ID: I20160808001901 |
| Provider Name | Sowmika Lingampally Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356862254 PECOS PAC ID: 0143646810 Enrollment ID: I20200812003393 |
| Provider Name | Gustavo F Tataje Rengifo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033601489 PECOS PAC ID: 8921401001 Enrollment ID: I20210727002539 |
| Provider Name | Aaron A Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801382551 PECOS PAC ID: 6305240037 Enrollment ID: I20210803001866 |
| Provider Name | Ayushma Duwadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891356556 PECOS PAC ID: 9638557929 Enrollment ID: I20220526002406 |
| Provider Name | Prakash Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134560170 PECOS PAC ID: 1850514449 Enrollment ID: I20220901003516 |
Well Child Health Center Of Ingham County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 E Mount Hope Ave, Upper Level, Lansing, MI 48910 Phone: 517-267-3400 Fax: 517-372-9188 | |
Mi Post Acute Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Armstrong Rd, Lansing, MI 48911 Phone: 800-411-6768 | |
Lansing Family Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4202 Collins Rd, Suite 115, Lansing, MI 48910 Phone: 517-484-4520 Fax: 517-484-3930 | |
University Of Michigan Health-sparrow Westshire Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7335 Westshire Dr, Suite 100, Lansing, MI 48917 Phone: 517-622-2788 Fax: 517-622-0460 | |
Ingham County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4311 | |
University Of Michigan Health-sparrow Lansing Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave, Suite 500, Lansing, MI 48912 Phone: 517-364-5123 Fax: 517-364-5124 | |
Willow Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 W Willow St, Lansing, MI 48906 Phone: 517-702-3500 Fax: 517-484-5169 |