DR. JUDD ALAN SPARAGON (NPI# 1245280643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245280643 |
| Entity Type | Individual |
| Full Name | DR. JUDD ALAN SPARAGON |
| Credential | D.P.M. |
| Practice Address |
113 Comanche Rd Fort Meade SD 57741-1002 |
| Mailing Address |
Po Box 7533 Rapid City SD 57709-7533 |
| Practice Telephone | 6053472511 |
| Practice Fax Number | 6057207238 |
| Mailing Telephone | 6053472511 |
| Mailing Fax Number | 6057207238 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
100 | SD | Podiatric Medicine & Surgery Service Providers |
| Street Address |
113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| 1942836093 | Jason William Chipman | Counselor | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-20 |
| 1114553799 | Talona Gonzalez | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-16 |
| 1497396618 | Jenna Pruitt | Occupational Therapist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-09-30 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1578119988 | Lindsay Heimann | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1093367369 | Megan Czmowski | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-16 |
| 1033761044 | Amber Rose Jones | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272530 | Dr.tom Ries LLC | Podiatrist | 811 E Saint Andrew St, Rapid City, SD 57701-3928 | 2018-07-25 |
| 1871637033 | Jared C Shippee | Podiatrist | 1515 Shoshone Ave, Spearfish, SD 57783-3032 | 2007-02-19 |
| 1881753754 | Barry L Jacobs | Podiatrist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-12-07 |
| 1508831389 | Kimberly Sue Montileaux | Podiatrist | 1 Clinic Dr, Kyle, SD 57752 | 2006-02-23 |
| City | FORT MEADE |
| Zip Code | 57741 |
Please comment or provide details below to improve the information on DR. JUDD ALAN SPARAGON.
| 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.