| Shawn Patrick Sparks, GRNA | |
|
169 Riverside Dr, Binghamton, NY 13905-4198 | |
| (600) 772-2726 | |
| Not Available |
| Full Name | Shawn Patrick Sparks |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 169 Riverside Dr, Binghamton, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457096257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 137558 (New York) | Secondary |
| 163W00000X | Registered Nurse | 691423 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Associates In Anesthesia Pc | 5193792844 | 26 |
| Entity Name | Riverside Associates in Anesthesia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740276203 PECOS PAC ID: 5193792844 Enrollment ID: O20040913001207 |
| Entity Name | 360 Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20260506001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Patrick Sparks, GRNA 40 Front St Ste C, Binghamton, NY 13905-4712 Ph: Not Available | Shawn Patrick Sparks, GRNA 169 Riverside Dr, Binghamton, NY 13905-4198 Ph: (600) 772-2726 |
Catherine Marie Sickler, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 Robinson St, Binghamton, NY 13904 Phone: 607-724-1391 |
Sabrina Westlake, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 249 Glenwood Rd, Binghamton, NY 13905 Phone: 607-296-3072 |
Patricia Ellen Lovuolo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 114 Clinton St, Binghamton, NY 13905 Phone: 607-797-9680 Fax: 607-797-4315 |
Joanne Stanley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 221 Chenango Bridge Rd, Binghamton, NY 13901 Phone: 607-762-6952 |
Christine Powell Wrighter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 Robinson St, Binghamton, NY 13904 Phone: 607-773-4460 Fax: 607-773-4125 |
Jennifer K Brant, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 Robinson St, Binghamton, NY 13904 Phone: 380-250-0671 |
Mrs. Sonya Marie Collins, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9 Ogden St, Binghamton, NY 13901 Phone: 607-762-8289 |