Physician Compare National (NPI:1558353177)

HEALTHCARE PROVIDER: JOHN C SPARKS JR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558353177
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456342146
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111230000099
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPARKS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1501 RIVER POINTE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	CONROE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773042860
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670059
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI ST LUKES HEALTH LAKESIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670093
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ASPIRE BEHAVIORAL HEALTH OF CONROE, LLC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450184
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450862
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST LUKE'S THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450684
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MEMORIAL HERMANN NORTHEAST
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1558353177)

HEALTHCARE PROVIDER: JOHN C SPARKS JR. M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information