MR. JASON SPARKS (NPI# 1679068571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679068571 |
| Entity Type | Individual |
| Full Name | MR. JASON SPARKS |
| Practice Address |
3111 Electric Ave Port Huron MI 48060-8127 |
| Practice Telephone | 8109858900 |
| Mailing Telephone | 8109858900 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659753150 | Jason Sparks | Dentist | 9150 Ne Barry Rd, Suite B, Kansas City, MO 64157-1247 | 2015-06-22 |
| 1184224875 | Jason Sparks | Homemaker | 19 Main St, Elkins, WV 26241-3125 | 2020-10-30 |
| 1265770150 | Jason J Sparks | Nurse Anesthetist, Certified Registered | 2101 Pease St, Harlingen, TX 78550-8307 | 2013-01-28 |
| 1407096027 | Jason Philip Sparks | Pharmacy Technician | 11113 Research Blvd, Austin, TX 78759-5236 | 2009-02-22 |
| 1306082631 | Jason Robert Sparks | Orthopaedic Surgery | 8165 S Mingo Rd Ste 201, Tulsa, OK 74133-4668 | 2008-12-16 |
| Street Address |
3111 ELECTRIC AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791313 | Genoa Healthcare, LLC | Pharmacy | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-06-20 |
| 1770184202 | Camilla Smith | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-11-02 |
| 1992312425 | Ashley Renock | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1720695240 | Danielle Marie Mitchell | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1417565995 | Keith R Gilbert | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-21 |
| 1710504998 | Caitlin Griswold | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-03 |
| 1508482951 | Elisa Dooley | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-22 |
| 1811513690 | Skye L Paling | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-17 |
| 1457976102 | Kathryn Shaw | Technician, Pathology | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-09 |
| 1518593003 | Joy Daggett | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245566702 | David Burnham I | Adult Companion | 3111 Electric Ave., Port Huron, MI 48060 | 2009-10-19 |
| 1942861786 | James Michael Talbot | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-06-24 |
| 1801387857 | Gina Renee Bass-maddox | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2018-05-25 |
| 1366961187 | Natalie Richard | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2017-09-13 |
| 1669856944 | Patricia Blume | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-07-16 |
| 1164762142 | Melissa Hrbcek | Adult Companion | 1001 Military St, Port Huron, MI 48060 | 2013-02-27 |
| 1548500630 | Donna Wilcox | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-26 |
| 1760722599 | Amanda Rae Axon | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-14 |
| 1346504909 | Jennifer Mary Watkins | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-28 |
| 1255694493 | Nicholas Cortis | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-22 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.