William Wallace Kettunen (NPI# 1235396177, PAC ID# 9234387838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1235396177 |
| PAC ID by PECOS | 9234387838 |
| Professional Enrollment ID | I20131112002125 |
| Full Name | William Wallace Kettunen |
| Address |
806 Glover Ave B Enterprise AL 36330-2018 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010049 | MEDICAL CENTER ENTERPRISE |
| Address | Phone | Organization |
|---|---|---|
| 806 Glover Ave B, Enterprise, AL 36330-2018 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
806 GLOVER AVE B |
| City | ENTERPRISE |
| State | AL |
| Zip | 36330-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Bender Jr. | Optometry | 1020 Boll Weevil Circle, Suite B, Enterprise, AL 36330-1317 | |
| Susan H Walthaus | Physical Therapy | Healthactions Pa | 1109 Boll Weevil Circle, Suite 2, Enterprise, AL 36330-1454 |
| Charles J West | Physical Therapy | Healthactions Pa | 1109 Boll Weevil Circle, Suite 2, Enterprise, AL 36330-1454 |
| William Wade Sharp | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Sandy L Griffin | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Robin D Simmons | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Chris Claassen | Anesthesiology | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Lisa M Wallace | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Michael T Kreger | Anesthesiology | Anesthesia Consultants Medical Group PC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Mark A Byard | Urology | Wiregrass Urology, PC | 207 E Watts St, Suite 200, Enterprise, AL 36330-1871 |
| Find all physicians in zip 36330 | |||
| City | ENTERPRISE |
| Zip Code | 36330 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ENTERPRISE + GENERAL SURGERY |
Please comment or provide details below to improve the information on William Wallace Kettunen.
| 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.