VANESSA SPARTA


Address: 9714 Healthway Dr, Berlin, MD 21811-1154
Phone: 4106413340

VANESSA SPARTA (NPI# 1154638658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C04309 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9714 HEALTHWAY DR
City BERLIN
State MD
Zip Code 21811-1154

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City BERLIN
Zip Code 21811

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Dataset Information

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.

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