Margaret K Sparks

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23102 Issued in KY

Legal business name

MARGARET K SPARKS

Practice address

10302 Brookridge Village Blvd
Suite 102
Louisville, KY 40291-4475

Phone

(866) 200-9874

Fax

(502) 966-9175

NPI assigned

Nov 28, 2007

Last updated

Mar 27, 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

Margaret K Sparks, M.D.

Title

Owner/Sole Practioner

Phone

(866) 200-9874

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1578745923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19027",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402590027",
            "telephone_number": "866-200-9874",
            "fax_number": "502-966-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 BROOKRIDGE VILLAGE BLVD",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914475",
            "telephone_number": "866-200-9874",
            "fax_number": "502-966-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET K SPARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/SOLE PRACTIONER",
        "authorized_official_telephone_number": "866-200-9874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "23102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICARE GROUP NUMBER",
            "identifier": "6018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY RAILROAD MEDICARE GRP",
            "identifier": "DD5649",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather L Marcus, CSW
• Jennifer Marcus, CSA
• Kevin Alan Marcus
• Gina Marie Marcuzzo, MD
• Saisindhu Marella
• Daniel Jacob Margul, MD PHD
• Rebecca Maria-Marylin Marhesic, OTA/L
• Maria Claire Brown DMD PSC
• Maria Renee Maupin (Splendid Scarab)
• Marian Home-Ursuline Sisters

• Dermatology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.