PATRICIA KETLER (NPI# 1629094404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629094404 |
| Entity Type | Individual |
| Full Name | PATRICIA KETLER |
| Credential | RN, MSN, APRN, BC |
| Practice Address |
104 Plumtree Rd Suite 115 Bel Air MD 21015-6095 |
| Mailing Address |
638 Reckord Rd Fallston MD 21047-2443 |
| Practice Telephone | 4105154300 |
| Practice Fax Number | 4105154318 |
| Mailing Telephone | 4108793431 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R053356 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST MARYLAND | 61318201 | 01 | |
| JOHNS HOPKINS HEALTHCARE | 039889 | 01 | |
| COVENTRY | 110835 | 01 | |
| MD | 521304500 | 05 | |
| NCPPO | 691571 | 01 | |
| MD | 93119 | 05 | |
| KAISER | 250391 | 01 | |
| CAREFIRST DC | 0016 | 01 |
| Street Address |
104 PLUMTREE RD SUITE 115 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-6095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285418 | Roy William Rothenberg | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2005-09-20 |
| 1437393758 | Franklin Square Hospital Center Inc | Obstetrics & Gynecology | 104 Plumtree Rd, Suite 107, Bel Air, MD 21015-6095 | 2009-04-30 |
| 1710126628 | Franklin Square Hospital Center Inc | Internal Medicine | 104 Plumtree Rd, Suite 108, Bel Air, MD 21015-6095 | 2009-02-17 |
| 1982813507 | The Training Room, Inc. | Durable Medical Equipment & Medical Supplies | 104 Plumtree Rd, Bel Air, MD 21015-6095 | 2007-05-21 |
| 1225151244 | Michele Crotty | Physician Assistant | 104 Plumtree Rd, Suite 104, Bel Air, MD 21015-6095 | 2007-04-06 |
| 1679610794 | Lindsey Marie Kruk | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2007-01-30 |
| 1639258932 | Robert Knight | Family Medicine | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2006-11-06 |
| 1578642898 | D Jean Overacre | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2006-11-06 |
| 1912086794 | Gillian Adams | Family Medicine | 104 Plumtree Rd, Bel Air, MD 21015-6095 | 2006-11-03 |
| 1609891910 | Katherine Fallon | Physician Assistant | 104 Plumtree Rd, Suite 115, Bel Air, MD 21015-6095 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505524 | Jillian E Haney | Nurse Practitioner | 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 | 2020-07-08 |
| 1376162362 | Thomas Nemer II | Nurse Practitioner | 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 | 2020-04-10 |
| 1134773922 | Robin Brown | Nurse Practitioner | 139 W Ring Factory Rd, Bel Air, MD 21014-5303 | 2019-07-30 |
| 1851949705 | Abenaa Asiama | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-09-03 |
| 1023555281 | Tracy Lynn Crose-hamm | Nurse Practitioner | 730 Baltimore Pike, Bel Air, MD 21014-4244 | 2017-01-26 |
| 1134679392 | Augusta Akpabio | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2016-10-11 |
| 1659828267 | Victoria Baeten | Nurse Practitioner | 2012 S Tollgate Rd, Suite 206, Bel Air, MD 21015-1272 | 2016-09-01 |
| 1205210317 | Rosemarie Hudson | Nurse Practitioner | 500 Upper Chesapeake Dr, Kaufman Cancer Center- Radiation Oncology, Bel Air, MD 21014-4324 | 2015-07-17 |
| 1710369392 | Jessica Marie Faulhaber Hoban | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2015-06-19 |
| 1740618776 | Natasha Watson | Nurse Practitioner | 500 Upper Chesapeake Dr, Upper Chesapeake Hospital, Bel Air, MD 21014-4324 | 2013-10-30 |
| Find all providers in BEL AIR | ||||
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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.