SUSAN SPARKS (NPI# 1881798445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881798445 |
| Entity Type | Individual |
| Full Name | SUSAN SPARKS |
| Credential | MD |
| Practice Address |
1000 Blythe Blvd Charlotte NC 28203-5812 |
| Mailing Address |
Po Box 601372 Charlotte NC 28260-1372 |
| Practice Telephone | 7043816810 |
| Practice Fax Number | 7043816811 |
| Mailing Telephone | 7043816810 |
| Mailing Fax Number | 7043816811 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
2009-00112 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2009-00112 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | D0065089 | MD | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD035678 | DC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101238604 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010241294 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477861565 | Susan Sparks | Occupational Therapist | 5211 79th St, Lubbock, TX 79424-2832 | 2010-09-22 |
| 1275994543 | Susan Sparks | Social Worker | 8500 N Knoxville Ave, Peoria, IL 61615-2079 | 2016-03-15 |
| 1598079618 | Susan Sparks | Radiologic Technologist | 31 E Butler Ave, Ambler, PA 19002-4513 | 2010-07-30 |
| 1386839892 | Susan Sparks | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2007-09-07 |
| 1306066055 | Susan Lorraine Sparks | Contractor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2007-04-26 |
| 1184786816 | Susan Sparks | Speech-Language Pathologist | 402 91st Ave Ne, Everett, WA 98205-1530 | 2006-12-16 |
| 1033179171 | Susan Wilkes Sparks | Specialist | 2228 Starling St, Brunswick, GA 31520-4200 | 2006-03-24 |
| 1003892183 | Susan M Sparks | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2005-12-20 |
| Street Address |
1000 BLYTHE BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282946 | Shoaib Lateef | Hospitalist | 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | 2005-06-01 |
| 1588264527 | Elizabeth Lopez | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-29 |
| 1164021648 | Daniel Alan Nichols | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-26 |
| 1487267878 | Anna Molengraft | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-26 |
| 1699388116 | Cassandra L. Barnes | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
| 1407469927 | Lesley Rummage | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
| 1104437326 | Nicole Clarke | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-11 |
| 1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
| 1316556319 | Carly E Janusek | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-26 |
| 1932717212 | Lauren May Vanderlip | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972765220 | Berrin Monteleone | Medical Genetics | 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 28203-5866 | 2008-06-27 |
| 1336365360 | Sara Elrefai | Medical Genetics | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811191679 | Bradford Cole Powell | Medical Genetics | 5078 Genetic Medicine Bldg, Campus Box 7264, Chapel Hill, NC 27599-7264 | 2007-06-13 |
| 1508336157 | Mission Community Anesthesiology Specialists LLC | Medical Genetics | 11 Vanderbilt Park Drive, Asheville, NC 28803 | 2018-11-27 |
| 1831248848 | Yuang-tsong Chen | Medical Genetics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2007-01-09 |
| 1427119080 | Margie L Jaworski | Medical Genetics | 2150 Herbert Ct, Ecu Physicians Pediatric Genetics, Greenville, NC 27834-3736 | 2006-12-13 |
| 1144204868 | Vandana Shashi | Medical Genetics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2005-12-06 |
| 1770567729 | Tamison Jewett | Medical Genetics | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-02 |
| 1194716936 | Karen Russell Schmidt | Medical Genetics | 600 Moye Blvd, Ecu Physicians Pediatric Genetics, Greenville, NC 27834-4300 | 2005-11-01 |
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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.