VANESSA SPARTA (NPI# 1154638658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154638658 |
Entity Type | Individual |
Full Name | VANESSA SPARTA |
Other Name | VANESSA WIESZUN |
Credential | P.A. |
Practice Address |
9714 Healthway Dr Berlin MD 21811-1154 |
Mailing Address |
9312 Ten Point Ct Berlin MD 21811-2720 |
Practice Telephone | 4106413340 |
Mailing Telephone | (973) 271-2882 |
Enumeration Date | 2010-09-03 |
Last Update Date | 2017-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | C04309 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9714 HEALTHWAY DR |
City | BERLIN |
State | MD |
Zip Code | 21811-1154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275522799 | Deborah Davis | Nurse Practitioner | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2005-10-18 |
1437768538 | Diane Elizabeth Skolka | Nurse Practitioner | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2020-07-24 |
1215574900 | Matthew Allen Powell | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2019-12-02 |
1043714306 | Atlantic General Hospital Corp | General Practice | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2018-03-21 |
1609387679 | Katelyn R Busacca | Dietitian, Registered | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2017-10-18 |
1881070696 | Theresa Kleger | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2015-08-04 |
1356735880 | Bryce Blanton | Psychiatry & Neurology | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2015-03-23 |
1790034569 | Michelle L. Givens Farlow | Registered Nurse | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2012-09-07 |
1417180365 | Sharon Lynn Nayfack | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-08-26 |
1598903999 | Anita Pascucci | Pediatrics | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-01-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
Find all providers in zip 21811 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588223754 | Autumn Smith | Physician Assistant | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-06-11 |
1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
1346620390 | Berlin Medical Associates | Physician Assistant | 175 Cross Keys Rd Ste 300b, Berlin, NJ 08009-9263 | 2015-06-04 |
1376955096 | Joseph Sicard | Physician Assistant | 798 U.S. Route 302, Berlin, VT 05602 | 2014-05-29 |
1376984229 | Michael A Puglisi | Physician Assistant | 225 Memorial Dr Ste 1100, Berlin, WI 54923-1243 | 2013-07-08 |
1538439278 | Jennifer Lynn Burrows | Physician Assistant | 339 N Route 73 Ste 1, Berlin, NJ 08009-9707 | 2012-01-11 |
1679897615 | Rosanna J Woodard | Physician Assistant | 1311 Barre-montpelier Rd, Suite 200, Berlin, VT 05602-9516 | 2010-03-19 |
1376878025 | Todd Morgan | Physician Assistant | 1311 Barre- Montpelier Rd, Cvmc Expresscare, Berlin, VT 05602-0000 | 2009-10-14 |
1295734069 | Anna M Freeman | Physician Assistant | 11101 Cathage Rd., Berlin, MD 21811 | 2005-07-14 |
1710502265 | Stephanie Klika | Physician Assistant | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2020-06-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.