DR. KETAN MEHTA


Address: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001
Phone: 2539681110

DR. KETAN MEHTA (NPI# 1184124687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184124687
Entity Type Individual
Full Name DR. KETAN MEHTA
Credential DO
Practice Address 9040a Jackson Ave
Joint Base Lewis Mcchord
WA 98431-0001
Practice Telephone 2539681110
Mailing Telephone 2539682462
Enumeration Date 2018-02-20
Last Update Date 2020-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 7226621 WA Allopathic & Osteopathic Physicians

Other Providers KETAN MEHTA

NPI Name Taxonomy Address Enumeration
1144298316 Ketan C Mehta Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2006-03-14
1992293849 Ketan Mehta Student in an Organized Health Care Education/Training Program 2001 W 68th St Ste 202, Hialeah, FL 33016-1898 2018-04-26
1942331608 Ketan C Mehta Specialist 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 2007-03-07

Office Location

Street Address 9040A JACKSON AVE
City JOINT BASE LEWIS MCCHORD
State WA
Zip Code 98431-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336747716 Melissa Stahl Occupational Therapist 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2020-10-16
1043832090 Ryan Michael Brock Pharmacist 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2020-05-13
1205457900 Yang Qu Physician Assistant 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2020-05-04
1275195877 Michael C Saenz Licensed Practical Nurse 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2019-07-03
1154892792 Nicholas James Wankum Physical Therapist 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2018-12-07
1942775184 Rachel Nell Dyal Nutritionist 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2018-10-03
1861998346 Isaac Ingersoll General Practice 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2018-04-03
1073965851 Katy L Modlin Dermatology 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5638 2016-07-06
1104286582 Andrew Zilka Physician Assistant 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2016-02-29
1164881520 Aundrea Kastl General Practice 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-4504 2016-02-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235529702 Matti Pekka Asuma General Practice 9040a Fitzsimmons Drive Department of Orthopaedics, Joint Base Lewis Mcchord, WA 98431-1000 2015-02-04
1578853024 Albert J Lee General Practice Soldier Centered Medical Home, Bldg 13815, Joint Base Lewis Mcchord, WA 98433-1000 2011-04-17
1619433885 Micheal Irelan General Practice 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 2019-02-13
1457816811 Arron Michael Smith General Practice 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 2019-02-09
1750846747 Jared Ray Seaman General Practice 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 2019-02-05
1427513639 Logan August Dobbe General Practice 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 2019-02-01
1972000925 Stephanie Katherine Skelly General Practice 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-7141 2018-04-06
1013413335 Colin Alexander Henderson General Practice 9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431 2018-04-04
1902302300 Kelsey Elizabeth Robinson General Practice 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 2018-04-04
1124524624 Jacob Braun General Practice 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 2018-04-03
Find all providers in JOINT BASE LEWIS MCCHORD

Competitor

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City JOINT BASE LEWIS MCCHORD
Zip Code 98431

Improve Information

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Dataset Information

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.

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