Ronald Paul Spark, M.D.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

10908 Issued in AZ

Practice address

3601 South Sixth Avenue
Savahsc, B104E
Tucson, AZ 85723

Phone

(520) 629-4629

Fax

(520) 629-1756

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255444972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 43877",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333877",
            "telephone_number": "520-792-1450",
            "fax_number": "520-694-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SOUTH SIXTH AVENUE",
            "address_2": "SAVAHSC, B104E",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85723",
            "telephone_number": "520-629-4629",
            "fax_number": "520-629-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARK",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spanish Trail Dental Group, LLP (Dentists of Tucson)
• Spanish Trail Pediatric Dental Partners, LLP (Every Kid's Dentist and Orthodontics)
• Richard Sparacino, DC
• Sparcc Professional Corporation (Sparcc)
• Theresa Joan Sparich, RN
• Stephanie Lynne Sparkes, MD
• Jordan Sparkman
• Kirsten Vaterlaus Sparks
• Marianne A Sparks
• Sparr Chiropractic PLLC (Cactus Flower Wellness Center)

• General Acute Care Hospital in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.