J ERIC SPARKS (NPI# 1679766513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679766513 |
| Entity Type | Individual |
| Full Name | J ERIC SPARKS |
| Credential | M.D. |
| Practice Address |
4000 24th St Lubbock TX 79410-1894 |
| Mailing Address |
3411 University Ave Lubbock TX 79413-2438 |
| Practice Telephone | 8067251101 |
| Mailing Telephone | 8067960507 |
| Mailing Fax Number | 8067996908 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2012-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
N7880 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366414013 | J William Sparks | Anesthesiology | 34800 Bob Wilson Dr, Nmcsd, Attn Medical Staff Services, San Diego, CA 92134-1098 | 2006-02-06 |
| Street Address |
4000 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960505 | Edwin A Contreras | Pediatrics | 4000 24th St, Lubbock, TX 79410-1894 | 2005-11-25 |
| 1487921623 | Wesley J Crane | Nurse Anesthetist, Certified Registered | 4000 24th St, Lubbock, TX 79410-1894 | 2011-11-16 |
| 1801057260 | Kamal D. Bhakta | Pharmacist | 4000 24th St, Lubbock, TX 79410-1894 | 2008-06-18 |
| 1306049242 | Neonatal Intensive Care Associates | Pediatrics | 4000 24th St, Nicu, Lubbock, TX 79410-1894 | 2007-06-07 |
| 1629288238 | Covenant Health System | Substance Abuse Rehabilitation Facility | 4000 24th St, Lubbock, TX 79410-1894 | 2007-05-23 |
| 1215012299 | Samuel B Herrera | Emergency Medicine | 4000 24th St, Lubbock, TX 79410-1894 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1710960505 | Edwin A Contreras | Pediatrics | 4000 24th St, Lubbock, TX 79410-1894 | 2005-11-25 |
| 1518252063 | Michael Wayne Sorrell | Pediatrics | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2011-06-13 |
| 1548440795 | Joy Catherine Tenpenny | Pediatrics | 602 Indiana Ave, Lubbock, TX 79430-3364 | 2007-11-05 |
| 1013100106 | Melissa S Piepkorn | Pediatrics | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2007-08-22 |
| 1598958019 | Thomas Andrew Bowman | Pediatrics | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2007-08-20 |
| 1679772107 | Jenny Lee Ravenscroft | Pediatrics | 3601 4th St, Ttuhsc, Dept. of Pediatrics - Room 4b098, Lubbock, TX 79430-0002 | 2007-07-14 |
| 1306049242 | Neonatal Intensive Care Associates | Pediatrics | 4000 24th St, Nicu, Lubbock, TX 79410-1894 | 2007-06-07 |
| 1033262068 | Carter Lane Lifshutz | Pediatrics | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2007-01-21 |
| 1629030945 | Fortunato Perez-benavides | Pediatrics | 602 Indiana Ave, Nicu, University Medical Center, Lubbock, TX 79415-3364 | 2006-04-03 |
| Find all providers in LUBBOCK | ||||
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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.