Jessica Ketterer (NPI# 1457717639, PAC ID# 5799083424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1457717639 |
| PAC ID by PECOS | 5799083424 |
| Professional Enrollment ID | I20160413002300 |
| Full Name | Jessica Ketterer |
| Organization Legal Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Address |
1150 N 35th Ave Suite 330 Hollywood FL 33021-5488 |
| Phone Number | 9542656363 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8123927373 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100281 | MEMORIAL HOSPITAL WEST |
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20801 Biscayne Blvd, Suite 200, Aventura, FL 33180-1422 | 9542654325 | SOUTH BROWARD HOSPITAL DISTRICT |
| 1150 N 35th Ave, Suite 330, Hollywood, FL 33021-5488 | 9542656363 | SOUTH BROWARD HOSPITAL DISTRICT |
| Organization Legal Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Physicians | 394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fiorella Jahaira Saka | Nurse Practitioner | South Broward Hospital District | 1150 N 35 Ave, Hollywood, FL 33021-5424 |
| Tanya Ann M Rausch | Nurse Practitioner | South Broward Hospital District | 4700 Sheridan St A, Hollywood, FL 33021-3420 |
| Jose David Sandoval-sus | Hematology/oncology | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Tjasa Hranjec | General Surgery | South Broward Hospital District | 1150 N 35th St, Suite 600, Hollywood, FL 33021-5431 |
| Amir Goldenberg | Internal Medicine | South Broward Hospital District | 2217 N University Dr, Pembroke Pines, FL 33024-3611 |
| Matthew Waldron | Family Medicine | South Broward Hospital District | 6730 Miramar Pkwy, Miramar, FL 33023-4838 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Heather S Spader | Neurosurgery | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Alicia Sanchez | Family Medicine | South Broward Hospital District | 16620 Sheridan St, Fort Lauderdale, FL 33331-4128 |
| Marian Rosado | Psychologist, Clinical | South Broward Hospital District | 3600 Washington St, Hollywood, FL 33021-8216 |
| Street Address |
1150 N 35TH AVE SUITE 330 |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-5488 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Melograno | Qualified Audiologist | South Broward Hospital District | 1150 N 35th Ave, Suite 540, Hollywood, FL 33021-5431 |
| Greg Zorman | Neurosurgery | South Broward Hospital District | 1150 N 35th Ave, Suite 300, Hollywood, FL 33021-5428 |
| Scott E Skorupa | Diagnostic Radiology | Tri County Pet LLC | 1150 N 35th Ave, Suite 665, Hollywood, FL 33021-5432 |
| Jeffrey A Hertz | Vascular Surgery | South Broward Hospital District | 1150 N 35th Ave, Suite 460, Hollywood, FL 33021-5430 |
| Alexandria West | Nurse Practitioner | South Broward Hospital District | 1150 N 35th Ave, Suite 330, Hollywood, FL 33021-5488 |
| Merrill H Prieto | Nurse Practitioner | South Broward Hospital District | 1150 N 35th Ave, Suite 605, Hollywood, FL 33021-5431 |
| David N Bimston | General Surgery | South Broward Hospital District | 1150 N 35th Ave, Suite 200, Hollywood, FL 33021-5434 |
| David M Rube | Psychiatry | South Broward Hospital District | 1150 N 35th Ave, Suite 205a, Hollywood, FL 33021-5431 |
| Akilah Quallo | Nurse Practitioner | South Broward Hospital District | 1150 N 35th Ave, Suite 605, Hollywood, FL 33021-5431 |
| Nancy M Tran | Nephrology | South Florida Nephrology Consultants Pl | 1150 N 35th Ave, Suite 465, Hollywood, FL 33021-5467 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | HOLLYWOOD + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jessica Ketterer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.