Steven B Sparks DO LTD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STEVEN B SPARKS DO LTD LLC

Practice address

1723 Columbus Ave
Ste D
Sandusky, OH 44870-3546

Phone

(419) 626-5252

Fax

(419) 626-5335

NPI assigned

Oct 3, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven B Sparks, DONPI 1548257645

Title

Owner

Phone

(419) 626-5252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Steven B Sparks DO Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven B Sparks, DO

  • General Practice Physician
  • Sandusky, OH
  • NPI 1548257645

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1902893282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 COLUMBUS AVE",
            "address_2": "STE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703546",
            "telephone_number": "419-626-5252",
            "fax_number": "419-626-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 COLUMBUS AVE",
            "address_2": "STE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703546",
            "telephone_number": "419-626-5252",
            "fax_number": "419-626-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN B SPARKS DO LTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-626-5252",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000258764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven B Sparks DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sandusky, OH
• General Practice Physician in Ohio

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