| Kera Sparks, AA | |
|
4235 Secor Rd, Toledo, OH 43623-4299 | |
| (419) 473-3561 | |
| Not Available |
| Full Name | Kera Sparks |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 5 Years |
| Location | 4235 Secor Rd, Toledo, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164082558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 0028511962 (Michigan) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 67.000352 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A4 Of Ohio Llc | 3971837188 | 27 |
| Entity Name | Anesthesia Associates Of Cincinnati, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
| Entity Name | A4 Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255996567 PECOS PAC ID: 3971837188 Enrollment ID: O20190621001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Kera Sparks, AA 6687 Raven Crst, Liberty Twp, OH 45011-9240 Ph: () - | Kera Sparks, AA 4235 Secor Rd, Toledo, OH 43623-4299 Ph: (419) 473-3561 |
Joshua Lynn Jay, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3556 | |
Andrew Mccray, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-4000 | |
Brienne N Seekford, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3888 Fax: 419-383-2860 | |
Jonathan Daniel Cox, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Mailstop #1137, Toledo, OH 43614 Phone: 419-383-3556 Fax: 419-383-3550 | |
Mr. Jacob Kanjuparamban, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3556 Fax: 419-383-3550 | |
Mr. Patrick Bolger, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3556 Fax: 419-353-3550 |