JEFFREY KETCHERSID (NPI# 1730522871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730522871 |
| Entity Type | Individual |
| Full Name | JEFFREY KETCHERSID |
| Practice Address |
300 Pasteur Dr Rm Hc 435 Department of Graduate Medcial Education Stanford CA 94305-2200 |
| Practice Telephone | 4347700257 |
| Mailing Telephone | 4347700257 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2016-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A136374 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 PASTEUR DR RM HC 435 DEPARTMENT OF GRADUATE MEDCIAL EDUCATION |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932336930 | Gundeep Sekhon | Psychiatry & Neurology | 300 Pasteur Dr Rm Hc 435, Department of Psychiatry, Stanford, CA 94305-2200 | 2009-06-17 |
| 1316568637 | Robert Andrew Borden II | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2020-04-27 |
| 1225657513 | John H Pollack | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2020-04-16 |
| 1780203315 | Tara Alexis Filsuf | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2020-04-14 |
| 1174183321 | Michael Chavarria | Anesthesiology | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2019-06-19 |
| 1003378159 | Cameron Fisk | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2019-04-05 |
| 1063987360 | Fabian Grubert | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2018-10-12 |
| 1104322312 | Lindsay Ruth Mccallum | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2018-04-05 |
| 1760988075 | Krishna Martinez-singh | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2018-04-04 |
| 1740786714 | Gillian Sterling Dilallo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm Hc 435, Stanford, CA 94305-2200 | 2018-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730613969 | Swati Didonato | Internal Medicine | 300 Pasteur Dr Rm H0110, Stanford, CA 94305-2200 | 2017-04-14 |
| 1861819823 | Edwina M Chang | Internal Medicine | 300 Pasteur Dr # Mc5621, Stanford, CA 94305 | 2014-03-27 |
| 1871928416 | Stephen P Luby | Internal Medicine | 473 Via Ortega, Y2e2, Mc 4205, Stanford, CA 94305-4121 | 2013-09-12 |
| 1104262708 | Brian Tadayoshi Abe | Internal Medicine | 300 Pasteur Dr Rm 2225, Stanford, CA 94305-2200 | 2013-05-22 |
| 1851657829 | Andrea Michelle Jonas | Internal Medicine | Stanford Hospital, 300 Pasteur Drive, Stanford, CA 94305 | 2012-04-04 |
| 1972878072 | Patrick C Ahearn | Internal Medicine | 300 Pasteur Dr Rm S161, Stanford, CA 94305-2200 | 2012-03-21 |
| 1245526169 | Adam Michael Andruska | Internal Medicine | 300 Pasteur Dr Rm H2143, Stanford, CA 94305-2200 | 2011-06-20 |
| 1558656231 | Xingxing Shelley Cheng | Internal Medicine | 300 Pasteur Dr # A160, Stanford, CA 94305 | 2011-06-10 |
| 1518252204 | Matthew Charles Baker | Internal Medicine | 900 Blake Wilbur Drive, 2nd Flr, Stanford, CA 94305-2200 | 2011-06-10 |
| 1659689032 | William James Collins | Internal Medicine | 300 Pasteur Dr # C032d, Stanford, CA 94305-2200 | 2010-09-19 |
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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.