Sparks Family Medicine LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P07-02616-B-102535 Issued in NV

Legal business name

SPARKS FAMILY MEDICINE LTD

Practice address

410 S Rampart Blvd Ste 390
Las Vegas, NV 89145-5749

Phone

(702) 722-2200

Fax

(702) 722-2201

NPI assigned

Sep 16, 2006

Last updated

Dec 5, 2023By 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

Brett W Sparks

Title

Administrator

Phone

(702) 813-7701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 5

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.

• Amy Sparks, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1184729204
  Medicare reassignment
• Ronald J Kohn, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1306881446
  NPD (past)
• Jacquelin A Weil, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1912971847
  NPD (past)
• Todd G. Gottschalk, DO

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1457456873
  NPD (past)
• Maureen E Parker, NP

  • Adult Health Nurse Practitioner
  • Littleton, CO
  • NPI 1346466869
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1912003054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455749",
            "telephone_number": "702-722-2200",
            "fax_number": "702-722-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455749",
            "telephone_number": "702-722-2200",
            "fax_number": "702-722-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS FAMILY MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-813-7701"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "P07-02616-B-102535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Spann, QBA
• Ann Sparacio
• Joan P Sparacio
• Emily Sparkman
• Kellie Sparkman
• Sparks Hospice Care LLC
• Amy Sparks, MD
• Ashley Sparks, LMSW, CSW-INTERN
• Carol Ann Sparks, PT, DPT
• Leland L Sparks, BS

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.