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SPARKS CLINIC P.C.
NPI 1215124276
Family Medicine in Kirksville, MO

Active since October 03, 2007
1410 CROWN DR, KIRKSVILLE, MO 63501(660) 665-1400(660) 665-2081 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sparks Clinic P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARKS CLINIC P.C. (NPI 1215124276) is a healthcare organization registered as a family medicine in Kirksville, Missouri and active in the NPI registry since October 2007. The organization lists John Robert Sparks, Physician, as its authorized official.

NPPES Registry Identity

NPI1215124276
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPARKS CLINIC P.C.
Location Address1410 CROWN DRKirksville, MO 63501-2548
Mailing Address1410 Crown Dr, Po Box 703Kirksville, MO 63501-2548 · (660) 665-1400 · Fax (660) 665-2081
Phone(660) 665-1400
Fax(660) 665-2081
Organization SubpartNo
Authorized OfficialJohn Robert SparksPhysician · (660) 665-1400
Enumeration DateOctober 3, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1215124276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R5954
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1410 CROWN DR, Kirksville, MO 63501
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Other Identifiers 2

Medicare UPIND 41749
OtherDG0675MO · Palmetto Gba

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA PEISSNER LCSW
Social Worker (Clinical)
1410 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-3621
NORTHEAST MISSOURI HEALTH COUNCIL INC
Psychologist
1410 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sparks Clinic P.C.'s NPI number?

The NPI number for Sparks Clinic P.C. is 1215124276. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Sparks Clinic P.C. located?

Sparks Clinic P.C. is located at 1410 Crown Dr, Kirksville, MO 63501. The listed phone number is (660) 665-1400.

What is Sparks Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sparks Clinic P.C. was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.