David Michael Sparks, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

22621 Issued in OK

Practice address

415 Fairview Ave
Suite 201
Ponca City, OK 74601-1923

Phone

(580) 762-0202

Fax

(580) 762-0219

NPI assigned

May 18, 2006

Last updated

Sep 16, 2020By the provider in NPPES

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Oklahoma College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health of Ponca City Home health agency, Ponca City, OK, CCN 377089
• Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsparks489576@direct.integrisok.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment Care Compare group NPD
• Dr. David M. Sparks, M.D., PLLC

  • Specialist
  • Ponca City, OK
  • NPI 1962504746
  Authorized official Same address or phone
• Integris Ambulatory Care C Orporation

  dba ProHealth Physicians

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1326076027
  NPD (past)
• Integris Health Ponca City Hospital Inc

  dba Integris Health Ponca City Hospital

  • General Acute Care Hospital
  • Ponca City, OK
  • NPI 1548047616
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Health Ponca City Hospital Inc

  dba Integris Health Ponca City Hospital

  • General Acute Care Hospital
  • Ponca City, OK
  • NPI 1548047616
  Care Compare affiliation
• Ponca City Home Care Services, LLC

  dba Assured Home Health of Ponca City

  • Home Health Agency
  • Ponca City, OK
  • NPI 1871530550
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1700839099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FAIRVIEW AVE",
            "address_2": "SUITE 201",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011923",
            "telephone_number": "580-762-0202",
            "fax_number": "580-762-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FAIRVIEW AVE",
            "address_2": "SUITE 201",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011923",
            "telephone_number": "580-762-0202",
            "fax_number": "580-762-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "22621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200060140B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7222705",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sparks-david.sparks.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct address",
            "address_1": "415 Fairview Ave",
            "address_2": "Suite 201",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746011923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Renae Somers, APRN-CNP
• Jess Lyndon Soto, MS, PT
• Melinda Agaran Soto, PT, RN, CWS
• Gina Soucek
• Souter Family Medicine
• Ivy S Sparlin, DDS
• Deborah J Spaulding
• Jenna Specht, PA-C
• Lauren T Spiva
• St Josephs Cancer Center of Northern

• Orthopaedic Surgery Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.