Terry R Ketch (NPI# 1972658060, PAC ID# 6608976154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1972658060 |
| PAC ID by PECOS | 6608976154 |
| Professional Enrollment ID | I20090711000032 |
| Full Name | Terry R Ketch |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Address |
123 Ctr Pointe Dr Clarksville TN 37040-8665 |
| Phone Number | 9315039994 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9931204237 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440006 | TRISTAR SKYLINE MEDICAL CENTER |
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| 180051 | JENNIE STUART MEDICAL CENTER |
| 440035 | TENNOVA HEALTHCARE-CLARKSVILLE |
| 180013 | THE MEDICAL CENTER (BOWLING GREEN) |
| Address | Phone | Organization |
|---|---|---|
| 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 | 9315039994 | CENTENNIAL HEART LLC |
| 2300 Patterson St, Nashville, TN 37203-1538 | 6152222100 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 103, Nashville, TN 37203-1577 | 6155151900 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 | 6155152100 | CENTENNIAL HEART LLC |
| 3443 Dickerson Pike, Suite 430, Nashville, TN 37207-2524 | 6155151980 | CENTENNIAL HEART LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Webber | Internal Medicine | Centennial Heart LLC | 302 N Congress Blvd, Smithville, TN 37166-2704 |
| Sandeep Duggal | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 |
| Thomas H Cabell | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 2933 Medical Ctr Pkwy D, Murfreesboro, TN 37129-2391 |
| Paul R Myers | Interventional Cardiology | Centennial Heart LLC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Thomas S Johnston | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 7100 Adams Dr, Fairview, TN 37062-7237 |
| Sunil C Kaza | Interventional Cardiology | Centennial Heart LLC | 491 Sage N Rd, Suite 400, White House, TN 37188-9361 |
| Christopher N Conley | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 |
| Gary Wayne Yawn Jr. | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 353 New Shackle Island Rd, Bldg C Suite 300, Handersonville, TN 37075-2329 |
| Marita Walton Ellis | Nurse Practitioner | Centennial Heart LLC | 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 |
| Andrew T Mcrae | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 125 Memorial Dr, Franklin, KY 42134-2752 |
| Street Address |
123 CTR POINTE DR |
| City | CLARKSVILLE |
| State | TN |
| Zip | 37040-8665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher N Conley | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel R Owsiak | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Lisa M Ely | Optometry | 3315 Guthrie Hwy, Clarksville, TN 37040 | |
| Charles Fitch | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Adam Luka | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Richard Gannaway | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Alan Lee Blatterman | Optometry | All Eyes Vision Care, Inc. | 3315 Guthrie Hwy, Clarksville, TN 37040 |
| Nida Steiner | Optometry | Calvert Opthalmology Psc | 2801 Wilma Rudolph Blvd, Suite 665, Clarksville, TN 37040-1501 |
| Joshua Alan Lecker | Chiropractic | 2106 Trenton Rd A, Clarksville, TN 37040-1633 | |
| Taylor Singleton | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Bethany Massey | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Find all physicians in zip 37040 | |||
| City | CLARKSVILLE |
| Zip Code | 37040 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CLARKSVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Terry R Ketch.
| 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.