Sidney Dana Sparks, MD | |
275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 | |
(360) 675-5555 | |
(360) 675-0275 |
Full Name | Sidney Dana Sparks |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 275 Se Cabot Dr, Oak Harbor, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598719841 | NPI | - | NPPES |
8180952 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00033179 (Washington) | Primary |
Entity Name | Mckenzie Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316909054 PECOS PAC ID: 1254307994 Enrollment ID: O20040903000766 |
Mailing Address | Practice Location Address |
---|---|
Sidney Dana Sparks, MD 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 Ph: (360) 675-5555 | Sidney Dana Sparks, MD 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277-3715 Ph: (360) 675-5555 |
Dr. Jeffrey Howard Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3475 N Saratoga St, Oak Harbor, WA 98278 Phone: 360-257-9905 | |
John R Beumer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277 Phone: 360-675-5555 Fax: 360-675-0275 | |
Danielle Esther Roth Gladstone, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr Ste B102, Oak Harbor, WA 98277 Phone: 360-675-5555 | |
Jane Ann Mays, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277 Phone: 360-675-5555 Fax: 360-675-0275 | |
Dr. Amy Young Garrett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B-102, Oak Harbor, WA 98277 Phone: 260-675-5555 | |
Andrea Brunhart Donalty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3475 N Saratoga St, Naval Hospital Oak Harbor, Oak Harbor, WA 98278 Phone: 360-257-9605 Fax: 360-257-9662 | |
Dr. Sarah B Poyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 275 Se Cabot Dr Ste B102, Oak Harbor, WA 98277 Phone: 606-755-5555 Fax: 360-675-0275 |