DR. GERALD MAX KETNER (NPI# 1932109360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932109360 |
| Entity Type | Individual |
| Full Name | DR. GERALD MAX KETNER |
| Credential | D.C. |
| Practice Address |
1139 N Loop 340 Waco TX 76705-2486 |
| Practice Telephone | 2547998343 |
| Practice Fax Number | 2547991922 |
| Mailing Telephone | 2547998343 |
| Mailing Fax Number | 2547991922 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4680 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0019846-01 | 05 |
| Street Address |
1139 N LOOP 340 |
| City | WACO |
| State | TX |
| Zip Code | 76705-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860943 | Adam Kyle Spillers | Pharmacist | 1521 I-35 East, Bellmead, TX 76705 | 2020-10-27 |
| 1245849157 | Jonathan Huo | Pharmacist | 801 N I-35, Bellmead, TX 76705 | 2020-07-27 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1285193607 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 510 N Loop 340, Ste E, Bellmead, TX 76705 | 2019-03-15 |
| 1285105585 | Charlotte Robinson | Registered Nurse | 1417 E Loop 340, Waco, TX 76705 | 2018-12-12 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1619494226 | Ariel Rennspies | Physician Assistant | 1135 Tx-340 Loop, Waco, TX 76705 | 2017-08-24 |
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1396131926 | Kate Marie-hall Nelson | Speech-Language Pathologist | 208 Chama Drive, Hewitt, TX 76705 | 2015-04-10 |
| 1366728149 | Marcia Deshazo Carter | Speech-Language Pathologist | 6610 N. Ih 35, Waco, TX 76705 | 2011-10-25 |
| Find all providers in zip 76705 | ||||
| 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 |
|---|---|---|---|---|
| 1043841018 | Nancy Holguin | Chiropractor | 4900 Bagby Ave Apt 602, Waco, TX 76711-0022 | 2020-01-29 |
| 1427610765 | Andrew Oestreich | Chiropractor | 5201 Bosque Blvd Ste 240, Waco, TX 76710-4676 | 2019-07-08 |
| 1437718913 | Centex Spine & Rehab, LLC | Chiropractor | 7111 Bosque Blvd Ste 101, Waco, TX 76710-4067 | 2019-06-10 |
| 1124575873 | Benjamin Jacob Barrett | Chiropractor | 7003 Woodway Dr Ste 313, Waco, TX 76712-6163 | 2016-09-09 |
| 1225374663 | Healthshield, Inc. | Chiropractor | 611 W. Hwy. 6, Suite # 113, Waco, TX 76710-7545 | 2012-12-12 |
| 1700191525 | Ava Self Management | Chiropractor | 3001 W Waco Dr, Suite B, Waco, TX 76707-3272 | 2010-08-17 |
| 1215122163 | Stafford Layton Martin | Chiropractor | 1917 N 18th St, Waco, TX 76707-1513 | 2007-09-12 |
| 1336342948 | Shamonica Trunell | Chiropractor | 6701 Sanger Ave Ste 104, Waco, TX 76710-7736 | 2007-06-09 |
| 1215077953 | Marilyn F Goodman | Chiropractor | 1545 Wooded Acres Dr, Waco, TX 76710-2838 | 2007-02-08 |
| 1700926839 | Britton Ross Myers | Chiropractor | 1221 Hewitt Dr, Suite C, Waco, TX 76712-8490 | 2007-02-07 |
| Find all providers in WACO | ||||
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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.