Gary J Sprouse (NPI# 1255443727, PAC ID# 6406818194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255443727 |
| PAC ID by PECOS | 6406818194 |
| Professional Enrollment ID | I20050407000126 |
| Full Name | Gary J Sprouse |
| Address |
2108 Didonato Dr Rear Chester MD 21619-2628 |
| Phone Number | 4106436205 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210037 | UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON |
| 210030 | UNIVERSITY OF MD SHORE MEDICAL CTR AT CHESTERTOWN |
| 210019 | PENINSULA REGIONAL MEDICAL CENTER |
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2108 Didonato Dr, Rear, Chester, MD 21619-2628 | 4106436205 |
| Street Address |
2108 DIDONATO DR REAR |
| City | CHESTER |
| State | MD |
| Zip | 21619-2628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Jennings Iii | Physical Therapy | 5 Chester Plz, Chester, MD 21619-2418 | |
| Jean S Inderfurth | Nurse Practitioner | Minute Clinic LLC | 115 S Piney Rd, Chester, MD 21619-2619 |
| Katherine E Daugherty | Nurse Practitioner | Minute Clinic LLC | 115 S Piney Rd, Chester, MD 21619-2619 |
| Erika M Waynik | Nurse Practitioner | Minute Clinic LLC | 115 S Piney Rd, Chester, MD 21619-2619 |
| Dawn L Westmoreland | Nurse Practitioner | Minute Clinic LLC | 115 S Piney Rd, Chester, MD 21619-2619 |
| Krista J Roberts | Nurse Practitioner | Minute Clinic LLC | 115 S Piney Rd, Chester, MD 21619-2619 |
| Lanae Baker | Chiropractic | Kent Island Chiropractic and Rehabilitation | 116 S Piney Rd, Suite 110, Chester, MD 21619-2705 |
| Morgan Scott Mcilree | Chiropractic | Kent Island Chiropractic and Rehabilitation | 116 S Piney Rd, Suite 110, Chester, MD 21619-2705 |
| Mary Kay Rehard | Clinical Social Worker | 116 S Piney Rd, Suite 204c, Chester, MD 21619-2787 | |
| Rebecca E Duncan | Family Medicine | Anne Arundel Physician Group LLC | 1630 Main St, Chester, MD 21619-2791 |
| Find all physicians in zip 21619 | |||
| City | CHESTER |
| Zip Code | 21619 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary J Sprouse.
| 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.