ELLEN M SPARKS (NPI# 1851601702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851601702 |
| Entity Type | Individual |
| Full Name | ELLEN M SPARKS |
| Other Name | ELLEN M FRICK |
| Credential | PA-C |
| Practice Address |
3000 15th Ave S Great Falls MT 59405-5240 |
| Mailing Address |
1400 29th St S Great Falls MT 59405-5315 |
| Practice Telephone | 4064542171 |
| Mailing Telephone | (406) 454-2171 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50363 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5920 Mcintyre St, Golden, CO 804037445 | 3039491250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022846 | Ellen E Sparks | Occupational Therapist | 1087 13th St Se, Hickory, NC 28602-4165 | 2020-08-05 |
| Street Address |
3000 15TH AVE S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140276 | Dennis P Ruggerie | Pediatrics | 3000 15th Ave S, Great Falls, MT 59405 | 2005-08-02 |
| 1033727185 | Amanda K Murray | Nurse Practitioner | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2020-07-15 |
| 1790196350 | Andrew Lindekugel | Podiatrist | 3000 15th Ave S, Great Falls, MT 59405 | 2014-05-16 |
| 1194168013 | Kenneth D Evans | Audiologist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2013-04-10 |
| 1104175314 | Audra Nicole Sexton | Optometrist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2012-09-04 |
| 1497057384 | Ashley Wach | Physician Assistant | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2010-11-26 |
| 1447550975 | Tyler Sorensen | Internal Medicine | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2010-11-01 |
| 1275761348 | Craig Kenneth Sweeney | Anesthesiology | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2009-06-29 |
| 1518101443 | Brian R Thomas | Otolaryngology | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2009-04-22 |
| 1225293640 | Daniel Gee Hodson | Podiatrist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1093370348 | Stephanie Petruzzo | Physician Assistant | 10888 Woodleaf Ln, Great Falls, VA 22066-3004 | 2019-05-02 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1518201284 | Jennifer D Decker | Physician Assistant | 1101 26th St S Fl 5, Great Falls, MT 59405-5161 | 2012-11-19 |
| 1093943284 | Alicia Marie Hamilton | Physician Assistant | 2517 7th Ave S Ste A3, Great Falls, MT 59405-3033 | 2009-06-25 |
| 1275661936 | James Eldon Latray | Physician Assistant | 3201 29th St S, Great Falls, MT 59405-5127 | 2007-03-02 |
| 1952355430 | Rodney T Lutes | Physician Assistant | 914 13th Ave S, Great Falls, MT 59405-4406 | 2006-05-20 |
| 1912522483 | Katelyn Myllymaki-keller | Physician Assistant | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-06-10 |
| 1104459718 | Katie Grace Smyth | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2020-02-21 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.