P Praxis·MD
● Active Type 1 · Individual

DR. Charisse Y Sparks, MD

Orthopaedic Surgery·Longview, TX· NPI 1689694390 · Enumerated 2006 · 19 years on NPI
Sparks is 1 of 1 orthopaedic surgery providers in Longview and 1 of 86 in Texas.
NPI age
19 years
Enumerated 2006-07-19
Primary specialty
Orthopaedic Surgery
Plus 1 subspecialty
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-03-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 86 active orthopaedic surgery providers in Texas.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 68% — 31% of peers are multi-state
Subspecialties
0
74% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1809 W Loop 281, Suite 100-131
Longview, TX 756042571
📞 8162622455
Mailing address
1809 W Loop 281, Suite 100-131
Longview, TX 756042571
📞 8162622455

Specialties

  • Orthopaedic Surgery Primary
    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...
    TX license #P1597MO license #022981 taxonomy 207XX0801X

Identifiers

TypeValueNotes
05 (MO) 209342302
01 719498 PHP HEALTHLINK
01 (MO) 10001805100 CHP
05 (KS) 200326080A
01 (MO) 35460011 BCBS KANSAS CITY
01 (MO) 7230075 AETNA
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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