SIDNEY DANA SPARKS (NPI# 1598719841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598719841 |
| Entity Type | Individual |
| Full Name | SIDNEY DANA SPARKS |
| Other Name | SIDNEY IRENE DANA |
| Credential | M.D. |
| Practice Address |
275 Se Cabot Dr Suite B-102 Oak Harbor WA 98277-3715 |
| Practice Telephone | 3606755555 |
| Practice Fax Number | 3606750275 |
| Mailing Telephone | 3606755555 |
| Mailing Fax Number | 3606750275 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00033179 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8180952 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699335562 | Sidney Sharee-celestine Sparks | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-06-13 |
| Street Address |
275 SE CABOT DR SUITE B-102 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557338 | Robert Scott Miller | Social Worker | 275 Se Cabot Dr, Ste B206, Oak Harbor, WA 98277-3755 | 2005-06-09 |
| 1033771977 | Julia Marsh | Nurse Practitioner | 275 Se Cabot Dr, Oak Harbor, WA 98277-3715 | 2019-07-01 |
| 1639687502 | Kristine Holiday | Physician Assistant | 275 Se Cabot Dr, Oak Harbor, WA 98277-3715 | 2018-01-13 |
| 1407388283 | Lantz & Associates Counseling, LLC | Social Worker | 275 Se Cabot Dr, B206, Oak Harbor, WA 98277-3715 | 2017-03-30 |
| 1063953396 | Nicole Ruth Dipzinski | Social Worker | 275 Se Cabot Dr, B206, Oak Harbor, WA 98277-3715 | 2017-03-20 |
| 1336546092 | Desirae Koonce | Physical Therapist | 275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715 | 2014-11-24 |
| 1437563368 | Integrated Rehabilitation Group PC | Massage Therapist | 275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715 | 2014-06-18 |
| 1588927594 | David Thuet Dds Pllc | Clinic/Center | 275 Se Cabot Dr, Suite A-11, Oak Harbor, WA 98277-3715 | 2012-06-25 |
| 1538468236 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr, Ste B101, Oak Harbor, WA 98277-3715 | 2011-03-21 |
| 1730491853 | David Mark Thuet | Dentist | 275 Se Cabot Dr, Suite A-11, Oak Harbor, WA 98277-3715 | 2010-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831400548 | Kestutis Aukstuolis | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2010-06-28 |
| 1477714798 | Tshawnda Janell Burke | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2008-06-19 |
| 1215981964 | John R Beumer | Pediatrics | 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 | 2006-05-19 |
| 1265484349 | Jane Ann Mays | Pediatrics | 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 | 2006-05-16 |
| 1477503746 | Amy Young Garrett | Pediatrics | 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 | 2006-05-10 |
| 1639135551 | Clyde Mervyn Rasmussen | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2006-04-21 |
| 1538149786 | Andrea Brunhart Donalty | Pediatrics | 3475 N Saratoga St, Naval Hospital Oak Harbor, Oak Harbor, WA 98278-4927 | 2006-01-21 |
| 1669451373 | Mark Elmer Ralston | Pediatrics | Naval Hospital, Oak Harbor, WA 98278-8800 | 2006-01-11 |
| 1639151293 | Michele Lynn Gasper | Pediatrics | 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1407491251 | Edwin Low | Pediatrics | 6207 156th Ave Ne, Redmond, WA 98052-4828 | 2019-11-14 |
| 1700428323 | Michelle Kice | Pediatrics | 6201 Reid Dr Nw, Gig Harbor, WA 98335-1349 | 2019-10-15 |
| 1265085682 | North Sound Pediatrics | Pediatrics | 15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012-1500 | 2019-07-24 |
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| Find all providers with the same taxonomy | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.