JEFFREY KETCHAM (NPI# 1548630700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548630700 |
| Entity Type | Individual |
| Full Name | JEFFREY KETCHAM |
| Credential | M.D. |
| Practice Address |
12753 Mission Meadow Dr Colorado Springs CO 80921-7659 |
| Practice Telephone | 8313336159 |
| Mailing Telephone | 8313336159 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD15412 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013772 | Jeffrey M Ketcham | Ophthalmology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-21 |
| 1245229368 | Jeffrey K Ketcham | Anesthesiology | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2005-10-20 |
| Street Address |
12753 MISSION MEADOW DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80921-7659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
| 1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
| 1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
| 1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
| 1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
| 1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
| 1174076582 | Jan L Wilkenson | Counselor | Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 | 2016-08-02 |
| Find all providers in zip 80921 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256818 | Summit Primary Care | Family Medicine | 75 Printers Pkwy Ste 200, Colorado Springs, CO 80910-3142 | 2020-05-18 |
| 1902437874 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907-4090 | 2020-01-30 |
| 1487285383 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 215, Colorado Springs, CO 80907-4090 | 2020-01-29 |
| 1568093847 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 205, Colorado Springs, CO 80907-8669 | 2020-01-27 |
| 1699319590 | Front Range Urgent Care, PC | Family Medicine | 6530 S Academy Blvd Ste 105, Colorado Springs, CO 80906-8635 | 2019-11-04 |
| 1669014593 | Neida L. Blondet | Family Medicine | 1380 N Fillmore St, Suite 100, Colorado Springs, CO 80907-6464 | 2019-10-11 |
| 1952942526 | Choondai Asha Ramlall | Family Medicine | 2342 Spring Blossom Dr, Colorado Springs, CO 80910-8106 | 2019-10-03 |
| 1710427174 | Vitality Aesthetics Pllc | Family Medicine | 7680 Goddard St, Suite 100, Colorado Springs, CO 80920-8235 | 2017-03-06 |
| 1477096964 | Home Call Medical LLC | Family Medicine | 3925 Regency Dr, Colorado Springs, CO 80906-4318 | 2016-12-01 |
| 1922558188 | Paladina Health, LLC | Family Medicine | 9965 Federal Dr, Colorado Springs, CO 80921-3822 | 2016-10-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80921 |
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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.