| Michael Sparks, | |
|
1606 N 7th St, Terre Haute, IN 47804-2706 | |
| (812) 238-7000 | |
| Not Available |
| Full Name | Michael Sparks |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1606 N 7th St, Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386392207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28232440A (Indiana) | Primary |
| Entity Name | Iceland Anesthesia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Sparks, 2052 Williams Glen Blvd, Zionsville, IN 46077-1178 Ph: () - | Michael Sparks, 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-7000 |
Ravneet Kaur, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 930-800-6122 | |
Robert Lucas Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-237-0211 Fax: 812-237-0182 | |
Rebecca Maupin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021 | |
Dr. Derrianne Michelle Monteiro, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1421 N 7th St, Terre Haute, IN 47807 Phone: 812-231-4608 Fax: 812-231-4675 | |
Mr. John Nathan Neukam, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021 | |
Dr. Megan Gale Engelman, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 317-902-7309 | |
Adam Kynaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021 |