Sparrow Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPARROW MEDICAL GROUP

Practice address

3736 N Market St
Shreveport, LA 71107-3104

Phone

(318) 934-0082

Fax

(318) 934-0087

NPI assigned

Jul 24, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mildred Ware Scott, PHD

Title

Authorized Official

Phone

(318) 934-0082

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Clyde Daniels, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1700997160
  NPD (past)
• Abubakar Denja Ibrahim, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1942248059
  NPD (past)
• Hazel Cecily Richards, LCSW

  • Social Worker
  • Shreveport, LA
  • NPI 1164693776
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1194980524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7276",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711377276",
            "telephone_number": "318-934-0082",
            "fax_number": "318-934-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073104",
            "telephone_number": "318-934-0082",
            "fax_number": "318-934-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "WARE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "318-934-0082",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167789",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Thomas Sowell, PHYSICAL THERAPIST
• Alison Smith Spann, MD
• Marilyn Sparks
• Shanice S Sparks
• Stacey D Sparks, MD
• David Dale Spaulding, DO
• Donald Ray Spearman
• Shelia Spearman
• Teressa Marshell Spearman
• Curtis Wayne Spears Sr., L.P.C.

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.