Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Sparks, PA

Individual provider Physician Assistant · NPI 1265827604

Tyler Sparks, PA is a Physician Assistant in Middleburg Heights, Ohio. Qualified in 2014, 12 years ago. Practices with Southwest General Medical Group Inc, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone: (440) 816-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50-004242 (OH)

Record details

NPI number1265827604
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESMay 12, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southwest General Medical Group Inc — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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