Sparx Foundation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPARX FOUNDATION

Doing business as

Primecare of Minnesota

Practice address

6417 Penn Ave S Ste 7-70
Minneapolis, MN 55423-1186

Phone

(952) 314-4448

NPI assigned

Feb 8, 2025

Organization subpart

No

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

Authorized official

Name

Fardows O Salim, MD

Title

MD

Phone

(952) 314-4448

Specialties & licenses 2

Addresses

Other names 1

• Primecare of Minnesota Doing business as

Locations

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1295540102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-70",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "952-314-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-70",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "952-314-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "FARDOWS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "952-314-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primecare of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primecare of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Denise Sparks, MD
• Leslie Ann Sparks, LADC
• Nicole Lynn Sparks, LSW
• Elaine Evalyn Sparrow, RN
• Rebecca Diane Spartz, LICSW
• Spaulding Professional Corporation
• Haley Candace Spaulding, PHARMD
• Patricia Spaulding, PH.D.
• Lynn Spaw
• Corey Ray Speaker, CARDIAC REHAB

• Family Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.