RHETT ARTHUR KETSCHKE (NPI# 1215275110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215275110 |
Entity Type | Individual |
Full Name | RHETT ARTHUR KETSCHKE |
Credential | DO |
Practice Address |
10651 E St Corpus Christi TX 78419-5130 |
Mailing Address |
6221 Queen Jane St Corpus Christi TX 78414-3982 |
Practice Telephone | 3619616189 |
Mailing Telephone | 7577694810 |
Enumeration Date | 2013-01-28 |
Last Update Date | 2017-10-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | R4411 | TX | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 0102203955 | VA | Allopathic & Osteopathic Physicians |
N | 171000000X | Military Health Care Provider | 0102203955 | VA | Other Service Providers |
N | 171000000X | Military Health Care Provider | R4411 | TX | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | LICENSE | R4411 | 01 |
VA | LICENSE | 0102203955 | 01 |
Street Address |
10651 E ST |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78419-5130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306849286 | William G. Beck | Specialist | 10651 E St, Corpus Christi, TX 78419-5130 | 2005-05-24 |
1356992713 | Diane Marie Everett | Pharmacist | 10651 E St, Corpus Christi, TX 78419-5130 | 2019-09-26 |
1790139905 | Finis Ashton Taylor IIi | Psychiatry & Neurology | 10651 E St, Corpus Christi, TX 78419-5130 | 2016-04-14 |
1568879401 | Traci Burrell | Clinic/Center | 10651 E St, Attention Medical Staff Services Office, Corpus Christi, TX 78419-5130 | 2014-07-11 |
1497007785 | Joshua John Morgan | Nurse Practitioner | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-10-10 |
1821349002 | Naval Health Clinic Corpus Christi | Clinic/Center | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-09-27 |
1649562398 | Colleen Anne Graham | Physical Therapist | 10651 E St, Physical Therapy Clinic, Corpus Christi, TX 78419-5130 | 2011-05-12 |
1497054258 | Kevin Hoang | Optometrist | 10651 E St, Corpus Christi, TX 78419-5130 | 2011-03-19 |
1558670166 | Brandi Nicole Milmo | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2010-09-29 |
1194045187 | Jermahl David Mckissick | Physician Assistant | 10651 E St, Naval Health Clinic Corpus Christi Tx, Corpus Christi, TX 78419-5130 | 2010-06-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528425840 | Danny X Xu | Emergency Medical Technician, Paramedic | Naval Health Clinic Corpus Christi, 10651 E. Street, Corpus Christi, TX 78419 | 2016-01-16 |
1457580235 | Jessica Nichols | Nurse Practitioner | 10651 E. Street, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2009-07-14 |
1770607145 | Gideon Allen Kain | Military Health Care Provider | 10651 E St., Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2007-03-19 |
1427157668 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Corpus Christi, TX 78419 | 2006-09-22 |
1417307349 | Erin Irene Ausborn | Family Medicine | 10651 E St., Corpus Christi, TX 78419 | 2016-06-22 |
1033521737 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2014-05-29 |
1811191984 | Naval Ambulatory Care Center,corpus Christi, Texas | Clinic/Center | Nas Corpus Christi, Corpus Christi, TX 78419-5021 | 2007-06-13 |
1639426059 | William Joseph Bates | Dentist | 10651 E St Bldg 100, Corpus Christi, TX 78419-5130 | 2012-08-06 |
1669489175 | Lawrence Anthony Ramirez | Family Medicine | 10651 E St Bldg H-100, Corpus Christi, TX 78419-5130 | 2006-08-01 |
1689642506 | Kenneth Wayne Graves | Military Health Care Provider | Naval Hospital Corpus Christi, 10651 E Street, Corpus Christi, TX 78419-5130 | 2006-03-08 |
Find all providers in zip 78419 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306201207 | Susan Comer | General Practice | 15394 Caravel Dr, Corpus Christi, TX 78418-6310 | 2015-12-18 |
1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
1407166614 | Clark Hayden Stearns | General Practice | 6031 Lost Creek Drive, Corpus Christi, TX 78413-3808 | 2010-10-21 |
1174837181 | Family Health Spa LLC | General Practice | 10102 S Padre Island Dr, Corpus Christi, TX 78418-4410 | 2010-08-02 |
1902044316 | Lonnie Schwirtlich | General Practice | 745 Everhart Rd, Ste. B, Corpus Christi, TX 78411-1942 | 2009-01-23 |
1659410348 | Judith Piner | General Practice | 3213 Holly Rd, Corpus Christi, TX 78415-3216 | 2007-02-06 |
1922084227 | Thomas Spann Clinic, Pa | General Practice | 7121 South Padre Island Drive, Ste 300, Corpus Christi, TX 78412-4940 | 2005-12-19 |
1023658879 | Morgan Primary Care Pllc | General Practice | 2202 Morgan Ave, Corpus Christi, TX 78405-1909 | 2020-01-09 |
1487291142 | Corpus Christi Regenerative Therapy Pllc | General Practice | 4455 S Padre Island Dr Ste 13, Corpus Christi, TX 78411-5161 | 2019-12-02 |
1245606540 | Lindsey Goosherst | General Practice | 4818 Holly Rd, Corpus Christi, TX 78411-4734 | 2015-08-20 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78419 |
Please comment or provide details below to improve the information on RHETT ARTHUR KETSCHKE.
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.