DR. JON MARK KETCHAM (NPI# 1902884661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902884661 |
| Entity Type | Individual |
| Full Name | DR. JON MARK KETCHAM |
| Credential | D.C. |
| Practice Address |
765 Park Ave Meadville PA 16335-2546 |
| Practice Telephone | 8143370128 |
| Practice Fax Number | 8143370164 |
| Mailing Telephone | 8143370128 |
| Mailing Fax Number | 8143370164 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC006808L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK MEDICARE SREVICES | 163160 | 01 |
| PA | BLUE CROSS / BLUE SHIELD | KE596806 | 01 |
| PA | 001616400 0006 | 05 | |
| PA | UPMC | 205078 | 01 |
| Street Address |
765 PARK AVE |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760730261 | Ketcham Chiropractic Pllc | Chiropractor | 765 Park Ave, Meadville, PA 16335-2546 | 2012-08-15 |
| 1013212844 | Always Believe In Your Dreams, LLC | Chiropractor | 765 Park Ave, Meadville, PA 16335-2546 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701962 | Iadeluca Chiropractic Meadville PC | Chiropractor | 11581 Pennsylvania Ave # 98, Meadville, PA 16335-6247 | 2020-05-11 |
| 1710279476 | Scherer Chiropractic | Chiropractor | 113 Main St E, Meadville, MS 39653-0336 | 2011-05-12 |
| 1689752859 | Robert E George | Chiropractor | 503 Randolph St, Meadville, PA 16335-2237 | 2006-11-02 |
| 1619996212 | Jeffrey Paul Leri | Chiropractor | 843 Market St, Meadville, PA 16335-3348 | 2006-07-18 |
| 1285696773 | Jack K. Vandervort | Chiropractor | 11581 State Hwy 98, Meadville, PA 16335-7321 | 2006-04-03 |
| 1073592143 | Christopher G Knapp | Chiropractor | 15957 Connenut Lake Rd, Ste 2, Meadville, PA 16335-4761 | 2006-01-17 |
| 1689655706 | Jameson Paul Walker | Chiropractor | 1261 S Main St, Meadville, PA 16335-3034 | 2005-11-07 |
| 1528053709 | David J Rusilko | Chiropractor | 797 Park Ave, Meadville, PA 16335-2563 | 2005-09-14 |
| 1912906587 | Cory H. Altabet | Chiropractor | 18471 Smock Hwy, Space 2, Meadville, PA 16335 | 2005-07-18 |
| 1235135146 | Lindsay L. Arbogast Graham | Chiropractor | 11581 State Highway 98, Meadville, PA 16335 | 2005-06-24 |
| Find all providers in MEADVILLE | ||||
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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.