Dr Shane Sparks, MD | |
2 Saint Vincent Cir, Little Rock, AR 72205-5423 | |
(501) 686-8000 | |
Not Available |
Full Name | Dr Shane Sparks |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 18 Years |
Location | 2 Saint Vincent Cir, Little Rock, Arkansas |
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 |
---|---|---|---|
1306032438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | E-6553 (Arkansas) | Primary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | E-6553 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Chi-st Vincent Infirmary | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group | 5698758803 | 204 |
Entity Name | St Vincent Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
Mailing Address | Practice Location Address |
---|---|
Dr Shane Sparks, MD 1725 Centennial Club Dr, Conway, AR 72034-8194 Ph: (501) 690-5134 | Dr Shane Sparks, MD 2 Saint Vincent Cir, Little Rock, AR 72205-5423 Ph: (501) 686-8000 |
Sukanthi Kovvuru, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 609-865-3702 | |
Dr. Christopher Brent Lawlis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Albert Lee Kittrell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Bradley Scott Boop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-227-8000 Fax: 501-221-0295 | |
Dr. Gregory Stanley Krulin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211 Phone: 501-526-6090 Fax: 501-526-5503 | |
Carlene Williams Lyle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2601 Kavanaugh Blvd, Suite 5, Little Rock, AR 72205 Phone: 501-663-8990 Fax: 501-663-8997 | |
Mr. Samuel Tyler Armstrong Bayles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 S Schiller St, Little Rock, AR 72201 Phone: 501-660-6644 |