MICHAEL SPARKS (NPI# 1295267656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295267656 |
| Entity Type | Individual |
| Full Name | MICHAEL SPARKS |
| Practice Address |
108 Castro St Norman OK 73069-5902 |
| Practice Telephone | 4054439183 |
| Mailing Telephone | 4054439183 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 027296586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821736 | Michael Sparks | Anesthesiology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2019-03-22 |
| 1124549803 | Michael Andrew Sparks | Family Medicine | 1000 Executive Dr Ste 9, Oviedo, FL 32765-8140 | 2017-07-03 |
| 1407141807 | Michael C Sparks | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2011-06-14 |
| 1063732246 | Michael Sparks | Technician, Other | 3367 Hwy 119, Mayking, KY 41837 | 2010-06-10 |
| 1831241645 | Michael S Sparks | Dentist | 10425 Montgomery Pkwy Ne, Albuquerque, NM 87111-3864 | 2007-01-18 |
| 1295829307 | Michael Lynn Sparks | Social Worker | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-10-03 |
| 1023044930 | Michael B Sparks | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-23 |
| Street Address |
108 CASTRO ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999031 | Jah'ni Anaya Foreman | Peer Specialist | 1135 E Brooks St, Norman, OK 73071-3429 | 2020-10-11 |
| 1780298794 | Melynda Marie Mcelwain | Peer Specialist | 2605 Glen Oaks Dr, Norman, OK 73071-4346 | 2020-09-07 |
| 1669979423 | Crystal Denae Timms | Peer Specialist | 109 Skylane Dr, Norman, OK 73071-7930 | 2018-04-09 |
| 1912407107 | Steven Franklin Borden | Peer Specialist | 620 Summit Bnd, Norman, OK 73071-0608 | 2018-02-14 |
| 1578074977 | Helen Steinel | Peer Specialist | 1415 George Ave Apt 213, Norman, OK 73072-6268 | 2017-10-12 |
| 1902323702 | Adam Rodriguez Patterson | Peer Specialist | 2500 Meadowood Blvd Apt 128, Norman, OK 73071-4728 | 2017-08-23 |
| 1609405760 | Dovie Marie Sarah Hernandez | Peer Specialist | 900 E Main St, Norman, OK 73071-5305 | 2020-04-02 |
| 1154897718 | Laura Leigh Houck | Peer Specialist | 215 W Linn St, Norman, OK 73069-5837 | 2018-10-22 |
| 1275012064 | Joseph Eugene Rainwater | Peer Specialist | 900 E Main St Bldg 52, Norman, OK 73071-5305 | 2018-08-13 |
| 1841778347 | Sabrina Pence | Peer Specialist | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2018-08-06 |
| Find all providers in NORMAN | ||||
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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.