Sparkmd

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M-10803 Issued in ID

Legal business name

SPARKMD

Doing business as

sparkMD

Practice address

302 W Idaho St
Boise, ID 83702-6039

Phone

(208) 369-4590

NPI assigned

Apr 3, 2015

Last updated

Apr 21, 2015By 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

Dr. Julie Kristen Gunther, MD, FAAFP

Title

Owner, Physician

Phone

(208) 369-4590

Specialties & licenses 1

Addresses

Other names 1

• sparkMD Doing business as

Locations

Practitioners 1

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.

• Stephanie Kathryn Potter, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1609892413
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1427443613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026039",
            "telephone_number": "208-369-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026039",
            "telephone_number": "208-369-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "GUNTHER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "208-369-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAFP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "M-10803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sparkMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Allen Spangler, D.C.
• Shereen M Spanier, RPH
• Nathan Spann, PHARMD - PHARMACIST
• David Lawrence Spannagel, RN
• Drew William Spanner
• Sarah R. Sparks, NP
• Toni Sparks, DNP
• Leslie Sparkuhl, SLP
• Marvin Charles Sparrell, MPAS PA-C
• Sandra Spear, NP

• Primary Care Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.