Individual
G ROGER SPARHAWK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4125 MEDINA RD, SUITE 220, AKRON, OH 44333-2483
(330) 665-8225
(330) 665-8229
Mailing address
4125 MEDINA RD, SUITE 220, AKRON, OH 44333-2483
(330) 665-8225
(330) 665-8229
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.040986
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0754597
MEDICARE ID
OH
05
—
2738103
—
OH
01
—
341790929185
CARESOURCE ID
OH
Enumeration date
01/10/2006
Last updated
01/05/2015
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