| Sparrow Sports Medicine Clinic | |
|
2900 Hannah Blvd Suite B102 East Lansing MI 48823-5384 | |
| (517) 364-8070 | |
| Not Available |
| Full Name | Sparrow Sports Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2900 Hannah Blvd, East 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 Sports Medicine Clinic 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6200 | Sparrow Sports Medicine Clinic 2900 Hannah Blvd Suite B102 East Lansing MI 48823-5384 Ph: (517) 364-8070 |
| NPI Number | 1598145997 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20150805007325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598145997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | 1060000091 (Michigan) | Primary |
| Provider Name | Robert E Norris |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184738783 PECOS PAC ID: 3779481742 Enrollment ID: I20031229000728 |
| Provider Name | Jeffrey R Kovan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902819162 PECOS PAC ID: 3072425164 Enrollment ID: I20031229000771 |
| Provider Name | Michael Bradley Shingles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164466223 PECOS PAC ID: 7113966631 Enrollment ID: I20050425001167 |
| Provider Name | Brooke L Lemmen |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1487864245 PECOS PAC ID: 2062606353 Enrollment ID: I20101101000364 |
| Provider Name | Mathew Reza Saffarian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356662332 PECOS PAC ID: 9537382643 Enrollment ID: I20140519000520 |
| Provider Name | Kyle L Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215297973 PECOS PAC ID: 9931320835 Enrollment ID: I20141017001277 |
| Provider Name | Jill S Moschelli |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427340256 PECOS PAC ID: 3375860646 Enrollment ID: I20150325001374 |
| Provider Name | Sara A Dumich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093071094 PECOS PAC ID: 9133435480 Enrollment ID: I20150901001016 |
| Provider Name | Noshir Y Amaria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033406368 PECOS PAC ID: 1254647589 Enrollment ID: I20150902000061 |
| Provider Name | Nathan J Fitton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114366499 PECOS PAC ID: 6406098128 Enrollment ID: I20161026002562 |
| Provider Name | Jarred K Holt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437413218 PECOS PAC ID: 3072817196 Enrollment ID: I20180807003357 |
Gary H. Dwight, D.d.s., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-333-9500 Fax: 517-333-9509 | |
University Of Michigan Health-sparrow Bariatrics & Weight Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Hannah Blvd, Suite 216, East Lansing, MI 48823 Phone: 517-364-8100 | |
Full Spectrum Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 Abbot Rd, Suite 100, East Lansing, MI 48823 Phone: 517-333-3550 Fax: 517-333-8774 | |
Family Care Practice Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Watertower Pl, Suite 700, East Lansing, MI 48823 Phone: 517-253-0539 Fax: 517-253-0536 | |
University Of Michigan Health-sparrow East Lansing Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Hannah Blvd Ste 104, East Lansing, MI 48823 Phone: 517-364-8000 Fax: 517-364-8001 | |
Nuvoair Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1760 Abbey Rd Fl 2, East Lansing, MI 48823 Phone: 888-915-0624 | |
Main Street Health Medical Partners-michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 Abbey Rd Fl 2, East Lansing, MI 48823 Phone: 517-305-2470 |