Stephanie Sparks, PA-C, ATC, MED, MSPS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004293 Issued in OH

Practice address

500 London Ave
Marysville, OH 43040-5512

Phone

(937) 644-6115

NPI assigned

Feb 17, 2015

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital of Union CountyGroup PAC ID 3577551621, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Physician Assistant

State licenses

Practice roles

Locations

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.

• Memorial Hospital of Union County

  dba Memorial Urgent Care

  • Urgent Care Clinic/Center
  • Marysville, OH
  • NPI 1093763757
  Medicare reassignment Care Compare group
• Arlington Urgent Care Inc

  dba Arlington Urgent Care

  • Urgent Care Clinic/Center
  • Upper Arlington, OH
  • NPI 1255624722
  Medicare reassignment NPD
• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194

  Physician Assistant

  Medicare reassignment NPD
• Mercy Emergency Care Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1477957819
  Medicare reassignment
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment
• Wedgewood Urgent Care, LTD

  • Family Medicine Physician
  • Powell, OH
  • NPI 1487601167
  Medicare reassignment
• Arlington Urgent Care Inc

  dba Delaware Urgent Care

  • Urgent Care Clinic/Center
  • Delaware, OH
  • NPI 1639947880
  NPD
• Health Partners Limited

  • Occupational Medicine Clinic/Center
  • Marysville, OH
  • NPI 1134243322
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1982095618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11341 LAKE DR",
            "city": "LAKEVIEW",
            "state": "OH",
            "postal_code": "433319717",
            "telephone_number": "614-205-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-644-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2245 W Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430853335",
            "country_code": "US",
            "telephone_number": "614-516-0184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "STEPHANIE",
        "credential": "PA-C, ATC, MED, MSPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004293",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.003403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick A Snyder, DC
• Tiffany Snyder
• Laura L Sorg, M.D.
• Nicole Ashley Souza
• Shelley Anne Soviak, LISW
• Spine and Pain Care Consultants
• Tara Lynn St Louis, LSW
• Erin St. Germain, LISW
• Elizabeth E. Staas, LSW CDCA
• Eryn Lynne Staats, AUD

• Physician Assistant in Marysville, OH
• Providers in Marysville, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.