DR. DAVID SCOTT KETNER JR. (NPI# 1407022015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407022015 |
| Entity Type | Individual |
| Full Name | DR. DAVID SCOTT KETNER JR. |
| Credential | M.D. |
| Practice Address |
1276 Fulton Ave Rm 208 Bronx NY 10456-3402 |
| Mailing Address |
1276 Fulton Ave Ste 3d Bronx NY 10456-3402 |
| Practice Telephone | 1718901891 |
| Practice Fax Number | 7189018918 |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 254818 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Temple St, Suite 3d, New Haven, CT 065102715 | 2037852020 | 2037857090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891196978 | David Ketner | Counselor | 15 Balaban Rd, Colchester, CT 06415-1701 | 2014-09-09 |
| Street Address |
1276 FULTON AVE RM 208 |
| City | BRONX |
| State | NY |
| Zip Code | 10456-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044536 | Timothy J Vittorio | Internal Medicine | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2005-09-23 |
| 1336655877 | Jennifer Dunbar | Social Worker | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-12-20 |
| 1346761491 | Maria Didamo | Social Worker | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-06-29 |
| 1710408927 | Bethany Anne Altschwager | Counselor | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-06-28 |
| 1649708686 | Dorcas Colon | Social Worker | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-06-02 |
| 1962958538 | Veronika Vozniak | Nurse Practitioner | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2016-09-01 |
| 1467807123 | Ningkun Li | Dentist | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2016-05-02 |
| 1841658408 | Lora M Wells | Occupational Therapist | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2016-02-10 |
| 1588077531 | Onelys Carrasquillo | Ophthalmology | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2014-06-07 |
| 1356693790 | Danielle Cardinali | Speech-Language Pathologist | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1134582588 | Matthew S Wieder | Ophthalmology | 3400 Bainbridge Ave Fl 1, Bronx, NY 10467-2404 | 2016-04-02 |
| 1669730974 | David Alevi | Ophthalmology | 860 Grand Concourse Apt 1n, Bronx, NY 10451-2815 | 2012-04-25 |
| 1366734691 | Robyn Helene Deutsch Sokol | Ophthalmology | 1764 Westchester Ave, Bronx, NY 10472-3022 | 2011-05-04 |
| 1184834459 | Ifeoma Ernestina Ezekwo | Ophthalmology | 3013 Grand Concourse, Bronx, NY 10468-1428 | 2007-05-23 |
| 1306059456 | Francis Anthony Manopoli | Ophthalmology | 2135 Colonial Ave, Bronx, NY 10461-3707 | 2007-05-07 |
| 1992922751 | Fiona Pathay | Ophthalmology | 1526 Waring Ave, Bronx, NY 10469-5914 | 2007-04-20 |
| 1780710749 | Patricia Ann Feller | Ophthalmology | 3671 Hudson Manor Ter, Bronx, NY 10463-1137 | 2007-02-26 |
| 1295888311 | Andrew Naing | Ophthalmology | 2355 Demeyer St, Bronx, NY 10469-6008 | 2007-01-19 |
| Find all providers in BRONX | ||||
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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.