SPARROW EATON HOSPITAL NPI 1760681159

NPI Information

NPI: 1760681159
Provider Name: SPARROW EATON HOSPITAL
Classification: Family Medicine - 207QA0000X
Specialization: Adolescent Medicine
Entity Type: Organization
Doing Business As: SPARROW EATON HOSPITAL
Address: 616 MEIJER DR
CHARLOTTE, MI
ZIP 48813
Phone: (517) 541-5899

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NPI Details

SPARROW EATON HOSPITAL is an adolescent medicine family medicine in Charlotte, MI. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. SPARROW EATON HOSPITAL NPI is 1760681159. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sparrow Eaton Hospital.

The provider's business location address is:

616 MEIJER DR
CHARLOTTE, MI
ZIP 48813-457
Phone: (517) 541-5899
Fax: (517) 543-6952

The provider's authorized official is Misty Gunter Russian .
The authorized official title is Supervisor, Provider Enrollment and has the following contact phone number (517) 253-6308.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	No
2	207QA0000X	Family Medicine	Adolescent Medicine	Yes
3	207R00000X	Internal Medicine		No
4	208000000X	Pediatrics		No
5	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
6	261Q00000X	Clinic/Center		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0B31000	OTHER	MICHIGAN	BCN IM GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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