ROBERT S KETCHUM (NPI# 1578702197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578702197 |
| Entity Type | Individual |
| Full Name | ROBERT S KETCHUM |
| Credential | PA-C |
| Practice Address |
101 Page Street Southcoast Physician Services, Inc. New Bedford MA 02740-3464 |
| Mailing Address |
370 Faunce Corner Road Southcoast Physician Services, Inc. North Dartmouth MA 02747-1271 |
| Practice Telephone | 5089615919 |
| Practice Fax Number | 5089615916 |
| Mailing Telephone | 5089852000 |
| Mailing Fax Number | 5089852001 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3993 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 013121 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528056983 | Robert M Ketchum | Pharmacist | 2244 Vanessa Dr, Birmingham, AL 35242-4430 | 2005-10-10 |
| 1487025136 | Robert Carl Ketchum | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2015-10-07 |
| Street Address |
101 PAGE STREET SOUTHCOAST PHYSICIAN SERVICES, INC. |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366423196 | Marcial A. Santos | Internal Medicine | 101 Page Street, Southcoast Physician Services Inc, New Bedford, MA 02740 | 2005-11-09 |
| 1376947424 | Lisa A Crary | Nurse Practitioner | 101 Page Street, New Bedford, MA 02740-3464 | 2014-10-17 |
| 1245511005 | St. Luke's Emergency Associates, P.C. | General Acute Care Hospital | 101 Page Street, Dept of Emergency Medicine, New Bedford, MA 02740 | 2011-09-07 |
| 1124255195 | Yusuf Konuk | Hospitalist | 101 Page Street, New Bedford, MA 02740 | 2009-06-17 |
| 1962636209 | Sujan Kayastha | Internal Medicine | 101 Page Street, New Bedford, MA 02740-3464 | 2009-05-14 |
| 1295901239 | Efrat Rosenthal | Pediatrics | 101 Page Street, St. Luke's Hospital, New Bedford, MA 02127 | 2008-04-30 |
| 1811161532 | Myles David Webster | Pediatrics | 101 Page Street, St Luke's Hospital Medical Staff Office, New Bedford, MA 02740 | 2008-04-14 |
| 1922270701 | Luiz Felipe Carneiro Leao | Internal Medicine | 101 Page Street, Southcoast Physician Services, Inc., New Bedford, MA 02740 | 2008-04-01 |
| 1134303456 | George Codrut Zlota | Internal Medicine | 101 Page Street, Southcoast Physician Services, Inc., New Bedford, MA 02740 | 2007-12-21 |
| 1316133648 | Roberto Alejandro Sica | Internal Medicine | 101 Page Street, Southcoast Physician Services, Inc., New Bedford, MA 02740 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566837 | Ashley Palmer | Physician Assistant | 263 Palmer St, New Bedford, MA 02740-2558 | 2020-07-31 |
| 1841232303 | Moriah B Ritson | Physician Assistant | 92 Grape St, New Bedford, MA 02740-2143 | 2006-06-11 |
| 1174562706 | Nicole Delmonico | Physician Assistant | 1155 Purchase St, New Bedford, MA 02740-6634 | 2006-06-06 |
| 1619944162 | Lonnie Houghton | Physician Assistant | 228 Field St, New Bedford, MA 02740-2133 | 2006-03-03 |
| 1598765711 | Darci Moran | Physician Assistant | 543 North St, New Bedford, MA 02740-2766 | 2005-07-29 |
| 1164049771 | Urvi Patel | Physician Assistant | 226 Field St, New Bedford, MA 02740-2133 | 2020-06-30 |
| 1992321707 | Alison Queen | Physician Assistant | 226 Field St, New Bedford, MA 02740-2133 | 2020-06-18 |
| 1720613177 | Kayla Marie Fraser | Physician Assistant | 101 Page St, New Bedford, MA 02740-3464 | 2020-03-05 |
| 1356981617 | Cassie Cole Costa | Physician Assistant | 101 Page St, New Bedford, MA 02740-3464 | 2020-01-14 |
| 1568939213 | Michael Norris Mclaughlin | Physician Assistant | 226 Field St, New Bedford, MA 02740-2133 | 2018-10-31 |
| Find all providers in NEW BEDFORD | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
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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.