JOHN P KETZ (NPI# 1073522652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073522652 |
| Entity Type | Individual |
| Full Name | JOHN P KETZ |
| Credential | MD |
| Practice Address |
601 Elmwood Ave Rochester NY 14642 |
| Mailing Address |
Box 665 601 Elmwood Ave Rochester NY 14642 |
| Practice Telephone | 5852733126 |
| Practice Fax Number | 5852733126 |
| Mailing Telephone | 5852733126 |
| Mailing Fax Number | 5857564721 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME 97677 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
ME 97677 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
258179 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 5918946 | 01 |
| FL | 27844830-0 | 05 | |
| FL | AVMED | 310407 | 01 |
| VA | 1073522652 | 05 | |
| FL | BLUE CROSS/BLUE SHIELD | 96123 | 01 |
| Street Address |
601 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324317 | Marc Norman Berliant | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2005-05-23 |
| 1386245165 | Stephanie Pilat | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-06 |
| 1396346276 | Noah Ritzel | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1811598790 | Natalie Tanke | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1891394490 | Muhamed Ahmic | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-23 |
| 1619576543 | Patricia Marie Reiber | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-21 |
| 1528667557 | Alexandra Jessie Strutt | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-21 |
| 1750989323 | Sarah Jones | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| 1679171334 | Audrey Linn Schroeder | Genetic Counselor, MS | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-15 |
| 1013515568 | Carla Katherine Muranyi | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063816718 | Erika Patricia Chirpich | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-4575 | 2014-10-09 |
| 1619904166 | Catherine A Humphrey | Orthopaedic Surgery | 601 Elmwood Avenue, Rochester, NY 14642 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881128882 | Natalie Rollick | Orthopaedic Surgery | 535 East 60th Street, Hospital for Special Surgery, New York, NY 10021 | 2017-04-17 |
| 1245506245 | Jeremy Podolnick | Orthopaedic Surgery | 5 E 98th St Fl 9, New York, NY 10029-6501 | 2012-03-24 |
| 1063679942 | Saila Detore | Orthopaedic Surgery | 403 Deer Park Ave, Babylon, NY 11702-2356 | 2008-05-19 |
| 1871500124 | Howard M Black | Orthopaedic Surgery | 96 Court St, Plattsburgh, NY 12901-2733 | 2006-08-01 |
| 1790703965 | Brian M Mehling | Orthopaedic Surgery | 800 Montauk Hwy, West Islip, NY 11795-4919 | 2006-07-17 |
| 1467938894 | Eric Ryan Still | Orthopaedic Surgery | 525 E 68th St, New York, NY 10065-4870 | 2018-07-18 |
| 1932654282 | Orthopedic Faculty Practice | Orthopaedic Surgery | 6010 Bay Pkwy, 7th Floor, Brooklyn, NY 11204-6079 | 2016-08-16 |
| 1376943910 | Diederik Otto Verbeek | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2014-09-02 |
| 1356772479 | Chima Nwankwo | Orthopaedic Surgery | 263 7th Ave Ste 2b, Brooklyn, NY 11215-3693 | 2013-11-30 |
| 1386902617 | Joshua Dustin Namm | Orthopaedic Surgery | 101 Nicolls Rd, Hsc T18 Rm 080, Stony Brook, NY 11794-8181 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
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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.