DR. ERIN VICTORIA SPARKS


Address: 2097 Henry Tecklenburg Dr, Suite 322w, Charleston, SC 29414-5740
Phone: 8434025035

DR. ERIN VICTORIA SPARKS (NPI# 1164733366) 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) 1164733366
Entity Type Individual
Full Name DR. ERIN VICTORIA SPARKS
Other Name DR. ERIN VICTORIA ILKANICH
Credential M.D.
Practice Address 2097 Henry Tecklenburg Dr
Suite 322w
Charleston
SC 29414-5740
Mailing Address Po Box 751649
Charlotte
NC 28275-1649
Practice Telephone 8434025035
Practice Fax Number 8434025036
Mailing Telephone 8437891620
Mailing Fax Number 8437242440
Enumeration Date 2010-06-23
Last Update Date 2015-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
32924 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 329246 05

Office Location

Street Address 2097 HENRY TECKLENBURG DR
SUITE 322W
City CHARLESTON
State SC
Zip Code 29414-5740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134122112 Michael Alan Spandorfer Internal Medicine 2097 Henry Tecklenburg Dr, Ste 305, Charleston, SC 29414-5744 2005-05-24
1073066932 Mark J Segal Md LLC Specialist 2097 Henry Tecklenburg Dr, Suite 212w, Charleston, SC 29414-5740 2016-07-27
1194132852 Roper Saint Francis Physicians Network Internal Medicine 2097 Henry Tecklenburg Dr, Suite 201w, Charleston, SC 29414 2014-07-15
1144647850 Roper Saint Francis Physicians Network Durable Medical Equipment & Medical Supplies 2097 Henry Tecklenburg Dr, Suite 322 W, Charleston, SC 29414-5740 2014-03-20
1356636682 Roper Saint Francis Physicians Network Internal Medicine 2097 Henry Tecklenburg Dr, Ste 316 W, Charleston, SC 29414-5740 2011-06-15
1407141633 John Daniel Gentry Psychiatry & Neurology 2097 Henry Tecklenburg Dr, Suite 316 W, Charleston, SC 29414-5740 2011-06-15
1003114406 Palmetto Primary Care Physicians Family Medicine 2097 Henry Tecklenburg Dr, Charleston, SC 29414-5740 2011-03-09
1841515152 Roper Saint Francis Physicians Network Orthopaedic Surgery 2097 Henry Tecklenburg Dr, Suite 218 West, Charleston, SC 29414-5740 2010-03-30
1225366719 Roper Saint Francis Physicians Network Internal Medicine 2097 Henry Tecklenburg Dr, Suite 305 West, Charleston, SC 29414 2009-11-23
1487989489 Roper Saint Francis Physicians Network Internal Medicine 2097 Henry Tecklenburg Dr, Ste 206 West, Charleston, SC 29414-5740 2009-10-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
Find all providers in zip 29414

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801454830 Mark Joshua Rosenberg Psychiatry & Neurology 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 2019-06-04
1952896789 Lauren Crawford Psychiatry & Neurology 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 2018-06-25
1457881674 Alexandra Parashos Psychiatry & Neurology 96 Jonathan Lucas St # 301, Charleston, SC 29425-8900 2017-06-20
1750811089 Radiant Neuromonitoring LLC Psychiatry & Neurology 101 Lawson Dr # 104, Charleston, SC 29404-2121 2017-06-19
1750720124 Colin Mcleod Psychiatry & Neurology 96 Jonathan Lucas St Csb 301 Msc 606, Charleston, SC 29425-3833 2013-06-19
1265784409 James Thorolf Peveler Jr. Psychiatry & Neurology 3086 Moonlight Dr, Charleston, SC 29414-8047 2012-10-11
1053670414 Muhammad Taimoor Khan Psychiatry & Neurology 415 Morris St Ste 300, Charleston, WV 25301-1853 2012-05-04
1366769986 James Philip Battista Psychiatry & Neurology 96 Jonathan Lucas St Ste 301, Charleston, SC 29425-5703 2010-04-21
1861571887 Hamid Reza Bahadori Psychiatry & Neurology 3531 Mary Ader Ave Ste A, Charleston, SC 29414-5896 2006-11-02
1316026347 Nicole Elizabeth Winston Psychiatry & Neurology 96 Jonathan Lucas St Ste 309, Charleston, SC 29425-8900 2006-11-02
Find all providers in CHARLESTON

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City CHARLESTON
Zip Code 29414

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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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