SPARKS CLINIC PC (NPI# 1831284967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831284967 |
Entity Type | Organization |
Organization Name | SPARKS CLINIC PC |
Practice Address |
1000 N. Hudson St. Silver City NM 88061 |
Practice Telephone | 5055380486 |
Practice Fax Number | 5055389179 |
Mailing Telephone | 5055380486 |
Mailing Fax Number | 5055389179 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | TWANA LIVETTE SPARKS (PRESIDENT) |
Authorized Official Telephone | 5055380486 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
87-386NM | NM | Allopathic & Osteopathic Physicians |
Street Address |
1000 N. HUDSON ST. |
City | SILVER CITY |
State | NM |
Zip Code | 88061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
1619453784 | Courtney Ochoa | Counselor | 3200 32nd Street Bypass, Silver City, NM 88061 | 2018-07-12 |
1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
1205339454 | Manuel A Ortega | Counselor | 1311 N Grant St Ste A, Silver City, NM 88061 | 2018-03-14 |
1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
1245787316 | David Thomas Rivera | Social Worker | 2039 Cottage Sand Rd., Silver City, NM 88061 | 2016-09-07 |
1821462540 | Anthony Alibah | Pharmacist | 100 Rosdale Road, Walgreens, Silver City, NM 88061 | 2015-11-18 |
Find all providers in zip 88061 |
Taxonomy Code | 207YX0602X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngic Allergy |
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073568564 | Twana Livette Sparks | Otolaryngology | 1000 N Hudson St, Silver City, NM 88061-5516 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881627396 | Gerald Norman Bart | Otolaryngology | 200 Oak St Ne, Ste 3, Albuquerque, NM 87106-5614 | 2006-07-08 |
1851412829 | Brett M. Clarke | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2007-04-03 |
1114942257 | David Lee Wilkey | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2006-07-12 |
1821020363 | Pinon Hills Ear, Nose, and Throat Associates, Pa | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2006-07-07 |
City | SILVER CITY |
Zip Code | 88061 |
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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.