Stacey D Sparks
MD | Pediatrics | Female
Stacey D Sparks, MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stacey D Sparks is
845 Olive St, Shreveport, Louisiana - 71104-2141. She can be contacted on phone at
318-226-4892 and fax number 318-227-4927.
Stacey D Sparks is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacey D Sparks is
1427291863 which was assigned by NPPES on 15 Apr, 2009 and it was last updated on 08 Feb, 2019.
Stacey D Sparks license number is
205277 for Pediatrics (208000000X) in Louisiana.
Stacey D Sparks is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stacey D Sparks basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stacey D Sparks |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Stacey D Sparks address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 845 Olive St
Shreveport, LA, 71104-2141
United States |
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| Phone Number : | 318-226-4892 |
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| Fax Number : | 318-227-4927 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427291863 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Apr, 2009 |
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| Last Updated On : | 08 Feb, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey D Sparks are as mentioned. Primary taxonomy code for Stacey D Sparks, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 205277 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Stacey D Sparks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1515728 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1202 Louisiana Ave
Shreveport, LA, 71101-3910
United States |
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| Phone Number : | 318-212-8951 |
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| Fax Number : | 318-212-6752 |
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Business Location:
Patients can refer following map for directions to
Stacey D Sparks practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.