Kelly L Sprout (NPI# 1659422129, PAC ID# 2769496561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1659422129 |
| PAC ID by PECOS | 2769496561 |
| Professional Enrollment ID | I20060201000097 |
| Full Name | Kelly L Sprout |
| Organization Legal Name | FIRELANDS REGIONAL MEDICAL CENTER |
| Address |
290 Progress Dr Suite B Bellevue OH 44811-9099 |
| Phone Number | 4194836516 |
| Gender | F |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6103734645 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360025 | FIRELANDS REGIONAL MEDICAL CENTER |
| 360065 | FISHER-TITUS HOSPITAL |
| 361310 | MERCY WILLARD HOSPITAL |
| 360107 | BELLEVUE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 290 Progress Dr, Suite B, Bellevue, OH 44811-9099 | 4194836516 | FIRELANDS REGIONAL MEDICAL CENTER |
| 292 Benedict Ave, Norwalk, OH 44857-2374 | 4196633737 | FIRELANDS REGIONAL MEDICAL CENTER |
| Organization Legal Name | FIRELANDS REGIONAL MEDICAL CENTER |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Rathfelder | Clinical Social Worker | Firelands Regional Medical Center | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 |
| William N Carroll | Psychiatry | Firelands Regional Medical Center | 1925 Hayes Ave, Sandusky, OH 44870-4737 |
| Michelle D Clinger | Clinical Psychologist | Firelands Regional Medical Center | 76 Ashwood Dr, Tiffin, OH 44883-1908 |
| John A Smith | Emergency Medicine | Firelands Regional Medical Center | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Tonia M Copsey | Nurse Practitioner | Firelands Regional Medical Center | 292 Benedict Ave, Norwalk, OH 44857-2374 |
| Jeffrey L Buehrer | Vascular Surgery | Firelands Regional Medical Center | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Laura J Obergefell | Nurse Practitioner | Firelands Regional Medical Center | 292 Benedict Ave, Norwalk, OH 44857-2374 |
| Nicholas Denbesten | Psychologist, Clinical | Firelands Regional Medical Center | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Michael J Lyster | Cardiovascular Disease (cardiology) | Firelands Regional Medical Center | 292 Benedict Ave, Norwalk, OH 44857-2374 |
| Thomas B Williamson | Internal Medicine | Firelands Regional Medical Center | 292 Benedict Ave, Norwalk, OH 44857-2374 |
| Street Address |
290 PROGRESS DR SUITE B |
| City | BELLEVUE |
| State | OH |
| Zip | 44811-9099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynne M Gilbert | Clinical Social Worker | Firelands Regional Medical Center | 290 Progress Dr, Suite B, Bellevue, OH 44811-9099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim E Knight | Family Medicine | 521 N Sandusky St, Suite A, Bellevue, OH 44811-1180 | |
| Edward J Hemeyer | Family Medicine | Northern Ohio Medical Specialists LLC | 521 N Sandusky St/ste B, Bellevue, OH 44811-1180 |
| Aaron G Nicely | Chiropractic | 1110 Castalia St G, Bellevue, OH 44811-1181 | |
| Orville Rene Amburn | Family Medicine | 250 Castalia St, Suite G, Bellevue, OH 44811-1200 | |
| Marcia Braun | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Samuel E Ross | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Douglas M Hoy | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Nathan P Samsa | Pulmonary Disease | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Max L Pavlock | Family Practice | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Theodore Ball | Family Practice | Ball Medical Clinic Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Find all physicians in zip 44811 | |||
| City | BELLEVUE |
| Zip Code | 44811 |
| Specialty | PSYCHIATRY |
| City + Specialty | BELLEVUE + PSYCHIATRY |
Please comment or provide details below to improve the information on Kelly L Sprout.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.