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SPARK MEDICAL PROVIDERS PA
NPI 1760374680
Internal Medicine - Geriatric Medicine in St Louis Park, MN

Active since July 16, 2025
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416(952) 345-8770 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spark Medical Providers Pa NPPES

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

SPARK MEDICAL PROVIDERS PA (NPI 1760374680) is a healthcare organization registered as a geriatric medicine in St Louis Park, Minnesota and active in the NPI registry since July 2025. The organization lists Catherine Ann Lauring, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760374680
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSPARK MEDICAL PROVIDERS PA
Location Address5320 W 23RD ST STE 130St Louis Park, MN 55416-1670
Mailing Address5320 W 23rd St Ste 130St Louis Park, MN 55416-1670 · (952) 345-8770
Phone(952) 345-8770
Organization SubpartNo
Authorized OfficialCatherine Ann LauringCeo · (952) 345-8770
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1760374680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
5320 W 23RD ST STE 130, St Louis Park, MN 55416
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

AKHSA SIMONOVICH FNP
Nurse Practitioner (Family)
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-8770
WENDY LAINE MD
General Practice
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-3215
MRS. SHANNON O'GARA CNP
Nurse Practitioner (Adult Health)
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-3213
JOANNA WEINAND RD
Dietitian, Registered
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-3213
LIFESPARK HOSPICE, LLC
Hospice Care, Community Based
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 737-4350
ANDREW MICHAEL AESHLIMAN COTA
Occupational Therapy Assistant
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-8770
LIFESPARK HOME HEALTH LLC
Home Health
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-8770
ELIZABETH ANN FEIERABEND MSN, FNP
Nurse Practitioner (Family)
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416
Hennepin County (952) 345-8770

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 Spark Medical Providers PA's NPI number?

The NPI number for Spark Medical Providers PA is 1760374680. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Spark Medical Providers PA located?

Spark Medical Providers PA is located at 5320 W 23rd St Ste 130, St Louis Park, MN 55416. The listed phone number is (952) 345-8770.

What is Spark Medical Providers PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Spark Medical Providers PA was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.