Individual provider Active NPI

Alivia Victoria Sparrow, PA-C

  • Physician Assistant
  • North Royalton, OH
National Provider Identifier
1972373561
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009353RX Issued in OH
Practice address
10139 Royalton Rd Ste H
North Royalton, OH 44133-4473
Phone
(440) 816-2878
Fax
(440) 582-2538
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009353RX OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10139 Royalton Rd Ste H
North Royalton, OH 44133-4473

Mailing address

10139 Royalton Rd Ste H
North Royalton, OH 44133-4473
Phone (440) 816-2878

Other practice location 1

4065 Center Rd Ste 220
Brunswick, OH 44212-5325
Phone (330) 558-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716003626 OH Practitioner - Physician Assistant 9830604917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10139 Royalton Rd
Suite H
North Royalton, OH 44133-4473
Phone (440) 816-2878

4065 Ctr Rd
Brunswick, OH 44212-5325

7255 Old Oak Blvd
Cleveland, OH 44130-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.009353RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Jun 23, 2025 Accepting new patients
Southwest General Medical Group, Inc CurrentSince Jun 23, 2025 Accepting new patients
Southwest General Medical Group Inc Past Accepting new patients

Locations

4065 Center Rd
Ste 220
Brunswick, OH 44212
Phone (330) 558-0070

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

10139 Royalton Rd
Ste H
North Royalton, OH 44133
Phone (440) 816-2878

18181 Pearl Rd
Ste B202
Strongsville, OH 44136
Phone (440) 816-4900

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1972373561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 ROYALTON RD STE H",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334473",
            "telephone_number": "440-816-2878",
            "fax_number": "440-582-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 ROYALTON RD STE H",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334473",
            "telephone_number": "440-816-2878",
            "fax_number": "440-582-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4065 Center Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442125325",
            "country_code": "US",
            "telephone_number": "330-558-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "ALIVIA",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009353RX",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.