Provider Demographics
NPI:1306051677
Name:SPRANKELL, ADAM GRAYMOOR (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:GRAYMOOR
Last Name:SPRANKELL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:RR 6 BOX 840
Mailing Address - Street 2:WILMA P. MANKILLER CLINIC, CHEROKEE NATION
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960-8703
Mailing Address - Country:US
Mailing Address - Phone:918-696-8800
Mailing Address - Fax:918-696-3879
Practice Address - Street 1:RR 6 BOX 840
Practice Address - Street 2:WILMA P. MANKILLER CLINIC, CHEROKEE NATION
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-8703
Practice Address - Country:US
Practice Address - Phone:918-696-8800
Practice Address - Fax:918-696-3879
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2016-06-17
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Provider Licenses
StateLicense IDTaxonomies
ARE5608207Q00000X
OK30952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR174718001Medicaid
AR390200000XOtherAHEC-NW FAMILY MEDICINE
AR1306051677OtherHEALTH PARTNERS
AR1306051677OtherAR BC/BS
AR5H359B477OtherBLUECROSS
AR390200000XOtherAHEC-NW FAMILY MEDICINE