OrganizationActive
Edward W Sparrow Hospital Association
NPI 1043562465 · Internal Medicine Physician · Lansing, MI
Provider details
- NPI number
- 1043562465
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Sparrow Health System
- Organization subpart
- Yes
- Authorized official
- Misty Russian, Supervisor, Provider Enrollment(517) 253-6308
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1800
Phone: (517) 364-5123
Fax: (517) 364-5124
Street-level locationGet directions
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Other names (DBA / former)
- Doing business as
- Smg Lansing Internal Medicine
- Doing business as
- University of Michigan Health-Sparrow Lansing Internal Medicine
Registry dates
- Enumerated
- 2012-10-09
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.