JEFFREY JUDGE KETZLE


Address: 4708 Alliance Blvd, Suite 475, Plano, TX 75093-5340
Phone: 9729648500

JEFFREY JUDGE KETZLE (NPI# 1972691004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972691004
Entity Type Individual
Full Name JEFFREY JUDGE KETZLE
Credential A.C.N.P.
Practice Address 4708 Alliance Blvd
Suite 475
Plano
TX 75093-5340
Mailing Address 4537 Eldorado Dr
Plano
TX 75093-5406
Practice Telephone 9729648500
Mailing Telephone 9728670129
Enumeration Date 2006-10-11
Last Update Date 2008-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
709638 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4708 ALLIANCE BLVD
SUITE 475
City PLANO
State TX
Zip Code 75093-5340

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NPI Name Taxonomy Address Enumeration
1689677940 Gerhard Emil Maale IIi Specialist 4708 Alliance Blvd, Ste 710, Plano, TX 75093-5340 2005-05-31
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1891155784 Anna Ferris Martinez Nurse Practitioner 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340 2016-03-04
1558739789 Elaine Allison Hess Psychologist 4708 Alliance Blvd, Pav I, Ste 700, Plano, TX 75093-5340 2015-09-03
1447655857 Christian L Moncrief Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 2014-10-28
1740605849 Matthew Wiggins Physician Assistant 4708 Alliance Blvd, 810, Plano, TX 75093-5340 2014-02-26
1447514831 Diana Margaret Kedora Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 300, Plano, TX 75093-5340 2012-06-29
1023372422 Amy Nicole Merritt Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 600, Plano, TX 75093-5340 2012-06-29
1871860882 Orthopedic Associates of Dallas LLP Orthopaedic Surgery 4708 Alliance Blvd, Suite 310, Plano, TX 75093-5340 2011-11-18
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NPI Name Taxonomy Address Enumeration
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1437657624 Advanced Spine Center Orthopaedic Surgery 1705 Ohio Drive, Suite 300, Plano, TX 75093 2018-01-23
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1457865578 Norma Vigilant Specialist/Technologist, Other 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 2017-11-28
1891214011 Americare Rx Pharmacy Inc Pharmacy 4010 W. 15th St., Ste 60, Plano, TX 75093 2017-09-19
1760912554 Baylor Surgicare At Baylor Plano, LLC Clinic/Center 4825 Alliance, Sute 300, Plano, TX 75093 2017-06-14
1881133262 Dr.seshagiri Rao Preferred Provider Organization 3016 Communications Pkwy, Ste 100, Plano, TX 75093 2017-02-17
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1104291483 Lindsey Baxter Nurse Practitioner 2401 Trailwest Lane, Plano, TX 75025 2015-12-11
1194345850 Adrienne Camille Greeney Nurse Practitioner 1100 Allied Dr, Plano, TX 75093-5348 2020-04-23
1679110332 Charles James Mckenna Nurse Practitioner 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2019-12-02
1376187682 Tabtiha Jean Inge Nurse Practitioner 3901 W 15th St, Plano, TX 75075-7738 2019-10-30
1447715503 Shabnam Gettu Gill Nurse Practitioner 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 2019-02-04
1538636444 Jessica Lee Whitis Nurse Practitioner 1600 Coit Rd Ste 104, Plano, TX 75075-6171 2018-10-29
1790251585 Laura Hayes Nurse Practitioner 1100 Allied Dr, Plano, TX 75093-5348 2018-10-18
1760957088 Baneen Fatima Manekia Nurse Practitioner 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 2018-10-13
1831672088 Preethy Sara Oommen Nurse Practitioner 6124 W Parker Rd Ste 536, Plano, TX 75093-8137 2018-09-13
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Competitor

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City PLANO
Zip Code 75093

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Dataset Information

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.

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