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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
32924 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 329246 | 05 |
Street Address |
2097 HENRY TECKLENBURG DR SUITE 322W |
City | CHARLESTON |
State | SC |
Zip Code | 29414-5740 |
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 |
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 Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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] |
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 |
City | CHARLESTON |
Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. ERIN VICTORIA SPARKS.
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.