DANIEL CHRISTOPHER KETTERER (NPI# 1134393796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134393796 |
| Entity Type | Individual |
| Full Name | DANIEL CHRISTOPHER KETTERER |
| Credential | M.D. |
| Practice Address |
1960 Riverside Pkwy Ste 101 Lawrenceville GA 30043-5945 |
| Practice Telephone | 7709950466 |
| Practice Fax Number | 7709950472 |
| Mailing Telephone | 7709950466 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
070952 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1960 RIVERSIDE PKWY STE 101 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679658702 | Gwinnett Infectious Diseases PC | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-10-26 |
| 1619980893 | Tzvetan Vassilev | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-08-15 |
| 1952318602 | Paul D Martin | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-08-02 |
| 1912913740 | Elliot G Raizes | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-08-01 |
| 1013921329 | Karuna Kusan | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168468 | Gina Askar | Internal Medicine | 1399 Walton Way Apt 203, Augusta, GA 30901-2683 | 2020-06-15 |
| 1417571175 | Infusimed, LLC | Internal Medicine | 2193 Cascade Rd Sw, Atlanta, GA 30311-2862 | 2020-05-28 |
| 1528689841 | Elysium Health and Wellness | Internal Medicine | 5555 Peachtree Dunwoody Rd Ste 201, Atlanta, GA 30342-1711 | 2020-04-27 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1942635081 | Faebris Medical & Community Education | Internal Medicine | 3939 Lavista Rd Ste E-310, Tucker, GA 30084-5162 | 2013-09-09 |
| 1275970253 | Bernard M Branson | Internal Medicine | 2175 Eldorado Dr Ne, Atlanta, GA 30345-3414 | 2013-05-30 |
| 1437491917 | John E Mcgowan Jr. | Internal Medicine | 2421 Oak Grove Valley Rd Ne, Atlanta, GA 30345-3885 | 2013-03-21 |
| 1831439744 | Frank Owen Evans Jr. | Internal Medicine | 220 E Montgomery St, Milledgeville, GA 31061-3533 | 2013-03-01 |
| 1972863629 | Jacobo Leon | Internal Medicine | 1500 Oglethorpe Ave Ste 300b, Athens, GA 30606-2181 | 2012-05-29 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.