MEDICARE: ETHAN DOUGLAS SPERRY MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.156446	OH
2	207SG0201X	Clinical Genetics (M.D.) Physician	35.156446	OH

General Provider Information

NPI Number	:	1609525146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN DOUGLAS SPERRY MD, PHD

Provider Business Mailing Address
First Line	:	3333 BURNET AVE # MLC4006
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4760
Fax Number	:	513-636-7297

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE # MLC4006
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4760
Fax Number	:	513-636-7297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	06/07/2026

Similar Medicare Providers

1891497426 — REBECCA SPEGELE MD
Practice Location Address:

3333 BURNET AVE , MLC 2008
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-7966
Practice Fax: 513-636-7967

1750213831 — MARIAH ROSE POIRIER
Practice Location Address:

3333 BURNET AVE
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-6124
Practice Fax:

1093647141 — EMILY MARIE MERZ
Practice Location Address:

3333 BURNET AVE
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-4200
Practice Fax:

1053993444 — DR. ALYSSA ANN SCHLOTMAN MD
Practice Location Address:

3333 BURNET AVE
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-4200
Practice Fax:

1497688816 — LIMOR MARKO
Practice Location Address:

3333 BURNET AVE
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-4200
Practice Fax:

1851394019 — DR. CHRISTINE E FULLER MD
Practice Location Address:

3333 BURNET AVE , ML 1035
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-4261
Practice Fax: 513-636-3924

Directions to “ ETHAN DOUGLAS SPERRY MD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.