Individual
DR. RICHARD D SPARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
116 EAST AVE, STE 4, TALLMADGE, OH 44278-2328
(330) 310-6938
(330) 633-6028
Mailing address
3517 KENT RD, STOW, OH 44224-4601
(330) 310-6938
(330) 688-4241
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-002144-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165800
ANTHEM
OH
05
—
0561691
—
OH
01
—
341443050
TAX ID
OH
01
—
341443050-001
MMO
OH
01
—
4280847
AETNA
OH
01
—
470275
UNITED HEALTHCARE
OH
01
—
480003267
RAILROAD MEDICARE
OH
Enumeration date
05/30/2005
Last updated
12/08/2023
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