SUSAN SPARKS MD NPI 1881798445

NPI Information

NPI: 1881798445
Provider Name: SUSAN SPARKS, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203
Phone: (704) 381-6810
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Susan Sparks, MD is a clinical genetics (m.d.) medical genetics in Charlotte, NC. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Susan Sparks, MD NPI is 1881798445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203-812
Phone: (704) 381-6810
Fax: (704) 381-6811

The enumeration date for this NPI number is 9/12/2006 and was last updated on 5/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD035678	DISTRICT OF COLUMBIA	No
2	208000000X	Pediatrics		D0065089	MARYLAND	No
3	208000000X	Pediatrics		2009-00112	NORTH CAROLINA	No
4	208000000X	Pediatrics		0101238604	VIRGINIA	No
5	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	2009-00112	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010241294	MEDICAID	VIRGINIA
2	018985I99	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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