Ethan Douglas Sperry, MD, PHD is a
Medical Genetics - Clinical Genetics (m.d.) physician based in Cincinnati, Ohio. Ethan Douglas Sperry is licensed to practice in Ohio (license number 35.156446) and his current practice location is 3333 Burnet Ave # Mlc4006, Cincinnati, Ohio. He can be reached at his office (for appointments etc.) via phone at
(513) 636-4760.
NPI number for Ethan Douglas Sperry is 1609525146 and his current mailing address is 3333 Burnet Ave # Mlc4006, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609525146.
Physician's Profile
| Full Name | Ethan Douglas Sperry |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 3333 Burnet Ave # Mlc4006, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609525146
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 06/07/2026
Medical Identifiers
Medical identifiers for Ethan Douglas Sperry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609525146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 35.156446 (Ohio) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 35.156446 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Douglas Sperry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ethan Douglas Sperry, MD, PHD 3333 Burnet Ave # Mlc4006, Cincinnati, OH 45229-3026 Ph: (513) 636-4760 | Ethan Douglas Sperry, MD, PHD 3333 Burnet Ave # Mlc4006, Cincinnati, OH 45229-3026 Ph: (513) 636-4760 |
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