Pamela Michelle Sparks, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N006220-1 Issued in NY

Practice address

514 S Bay Rd
Syracuse, NY 13212-3627

Phone

(315) 458-1777

Fax

(315) 458-9661

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1326251455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777",
            "fax_number": "315-458-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777",
            "fax_number": "315-458-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "PAMELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300979",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006220-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2960630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny M. Spaights, PA-C
• Danielle Francis Spain, PT, DPT, CLT
• James Sebastian Spano, LCSW-R
• Joseph Peter Spano, MSW
• Sophia Nicole Sparacio, PA
• Carol Lynn Spartano, MS SPECIAL EDUCATION
• Neda Spasevski, RN
• Gabriella Tina Spataro
• Christopher A Spates, MD
• Christa M Speach, LMHC

• Foot Surgery Podiatrist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.