Richard D Sparrow

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-002144-S Issued in OH

Legal business name

RICHARD D SPARROW

Doing business as

Richard D Sparrow DPM

Practice address

116 East Ave
Ste 4
Tallmadge, OH 44278-2300

Phone

(330) 310-6938

NPI assigned

Jul 8, 2013

Last updated

Jul 9, 2013By 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. Richard D SparrowNPI 1457354979

Title

Owner

Phone

(330) 310-6938

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Richard D Sparrow DPM Doing business as

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.

• Richard D Sparrow, DPM

  • Podiatrist
  • Tallmadge, OH
  • NPI 1457354979
  NPD (past) Authorized official

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1508207473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 KENT RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244601",
            "telephone_number": "330-310-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EAST AVE",
            "address_2": "STE 4",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782300",
            "telephone_number": "330-310-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D SPARROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "SPARROW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-310-6938",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002144-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4280847",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000165800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480003267",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561691",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "470275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard D Sparrow DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.