Charles E Sparks, M.D.

Primary specialty

Chemical Pathology PhysicianTaxonomy code 207ZP0104X

License

150997 Issued in NY

Practice address

601 Elmwood Ave
Department of Pathology & Laboratory Medicine
Rochester, NY 14642-0001

Phone

(585) 275-8236

Fax

(585) 756-5337

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1447367271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-8236",
            "fax_number": "585-756-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-8236",
            "fax_number": "585-756-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0104X",
            "taxonomy_group": "",
            "desc": "Pathology, Chemical Pathology",
            "state": "NY",
            "license": "150997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane R. Spann, N/A
• Lauren Elizabeth Spano
• Loralee Sparacino, N.P.
• Sparc Occupational and Physical Therapy Services
• Brianna Michelle Sparhuber, M.S., N.C.C., LMHC
• Sparrow Counseling Services, LCSW, PLLC
• Johnny Sparrow, LCSW
• Alison Spath, CD(DONA), IBCLC
• Zachary Todd Spatol
• Megan C. Spatola

• Chemical Pathology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Chemical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.