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DR. CHARISSE Y SPARKS MD
NPI 1689694390
Orthopaedic Surgery - Orthopaedic Trauma in Longview, TX

Active since July 19, 2006
1809 W LOOP 281, SUITE 100-131, LONGVIEW, TX 75604(816) 262-2455 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charisse Y Sparks Md NPPES

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

DR. CHARISSE Y SPARKS MD (NPI 1689694390) is an individual orthopaedic trauma provider in Longview, Texas, licensed in Texas (P1597) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689694390
Entity TypeIndividualFemale
Primary Taxonomy207XX0801X
Provider Legal NameDR. CHARISSE Y SPARKSCredential: MD
Location Address1809 W LOOP 281, SUITE 100-131Longview, TX 75604-2571
Mailing Address1809 W Loop 281, Suite 100-131Longview, TX 75604-2571 · (816) 262-2455
Phone(816) 262-2455
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 13, 2013
✔ NPI 1689694390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in TX · P1597✔ Licensed in MO · 022981
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
1809 W LOOP 281, Longview, TX 75604
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Other Identifiers 9

Other7230075MO · Aetna
Other10001805100MO · Chp
Other35460011MO · Bcbs Kansas City
Medicaid200326080AKS
Medicare ID-Type UnspecifiedP00273060MO · Rr Medicare
Medicare ID-Type Unspecified701D871MO
Other719498Php Healthlink
Medicare UPINI10093MO
Medicaid209342302MO

Other Providers at the Same Location NPPES 4

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

BRENDA GILLAR CCC/SLP
Speech-Language Pathologist
1809 W LOOP 281, STE100 PMB153
LONGVIEW, TX 75604
Gregg County (972) 935-4752
ELDER CHIROPRACTIC CLINIC
Chiropractor
1809 W LOOP 281, SUITE 104
LONGVIEW, TX 75604
Gregg County (903) 759-5557
HALEY BROOKE KREBS FNP-C
Nurse Practitioner (Family)
1809 W LOOP 281
LONGVIEW, TX 75604
Gregg County (214) 256-3900
BEYOND SPEECH THERAPY , PLLC
Speech-Language Pathologist
1809 W LOOP 281, STE100 PMB153
LONGVIEW, TX 75604
Gregg County (903) 309-3816

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 Charisse Sparks's NPI number?

The NPI number for Charisse Sparks is 1689694390. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Charisse Sparks located?

Charisse Sparks practices at 1809 W Loop 281 Suite 100-131, Longview, TX 75604. The listed phone number is (816) 262-2455.

What is Charisse Sparks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

When was this NPI record last updated?

The NPPES record for Charisse Sparks was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.