NPIMap

Individual provider Active NPI

Chandler Wayne Sparks, DO, MPH, MS

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1295239747
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS21057 Issued in FL
Practice address
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone
(407) 646-7070
Fax
(407) 646-7747
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2021042303 MO
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS21057 FL Primary

Addresses

Primary practice location

133 Benmore Dr Ste 200
Winter Park, FL 32792-4111

Mailing address

531 Westbury Dr
Grapevine, TX 76051-4463
Phone (817) 773-7753

Other practice location 1

1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, WY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231120000015 CO Practitioner - General Practice 1850641556 Reassigns benefits to 2 organizations
I20240910003969 FL Practitioner - Obstetrics/Gynecology 1850641556 Reassigns benefits to 1 organization
I20260402003362 WY Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1850641556 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2001 70TH Ave
Suite 300
Greeley, CO 80634-4632
Phone (970) 810-6353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
2021042303MOMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jun 25, 2024 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. General Practice CurrentSince Oct 8, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 29, 2024 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 8, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 8, 2025 Accepting new patients
North Colorado Medical Center Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 810-6353

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

133 Benmore Dr
Ste 200
Winter Park, FL 32792
Phone (407) 599-6060

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

Interoperability endpoints

  • Direct secure messaging: csparks3768682@adventhealth.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1295239747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WESTBURY DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514463",
            "telephone_number": "817-773-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-646-7070",
            "fax_number": "407-646-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 N Green Mount Rd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622692083",
            "country_code": "US",
            "telephone_number": "618-624-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CHANDLER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DO, MPH, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2021042303",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS21057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.