DR. ALAN KENNETH KETOVER (NPI# 1073732624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073732624 |
| Entity Type | Individual |
| Full Name | DR. ALAN KENNETH KETOVER |
| Credential | M.D. |
| Practice Address |
10595 N Tatum Blvd Suite E-146 Paradise Valley AZ 85253-1071 |
| Practice Telephone | 6023810800 |
| Practice Fax Number | 6023810054 |
| Mailing Telephone | 6023810800 |
| Mailing Fax Number | 6023810054 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
AZ13379 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
10595 N TATUM BLVD SUITE E-146 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip Code | 85253-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330977 | Insight Health Corp | Physiological Laboratory | 10595 N Tatum Blvd, Ste E144, Paradise Valley, AZ 85253-1071 | 2006-03-16 |
| 1851956908 | Mariah Pope | Behavioral Analyst | 10595 N Tatum Blvd, Paradise Valley, AZ 85253-1071 | 2019-05-03 |
| 1346691136 | Incredible Health LLC | Health Educator | 10595 N Tatum Blvd, Suite E-141, Paradise Valley, AZ 85253-1072 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659821262 | U.S. Healthworks Medical Group of Arizona, Inc. | Preventive Medicine | 2301 N Forbes Blvd, Tucson, AZ 85745-1455 | 2016-10-06 |
| 1154728954 | Healthstat On-site Clinic Polsinelli Phoenix Az | Preventive Medicine | One East Way Washington, Suite 1200, Phoenix, AZ 85004 | 2014-11-24 |
| 1295038990 | James Louis Schamadan | Preventive Medicine | 24350 N Whispering Ridge Way, Unit 49, Scottsdale, AZ 85255-5728 | 2010-12-19 |
| 1467774042 | Samurdhi Jayaweera Roberts | Preventive Medicine | 409 S 104th Ave, Tolleson, AZ 85353-9236 | 2010-02-23 |
| 1982934881 | Philip G Glennie | Preventive Medicine | 888 S Craycroft Rd Ste 150, Tucson, AZ 85711-7177 | 2009-12-28 |
| 1053548081 | Andrew Chad Yorgason | Preventive Medicine | 5801 S Wintersburg Rd, Tonopah, AZ 85354-7529 | 2009-06-17 |
| 1275670242 | Keith David Mosienko | Preventive Medicine | 6865 W Briles Rd, Peoria, AZ 85383-7015 | 2007-01-31 |
| 1891880829 | Thomas M Ronan | Preventive Medicine | 4730 E Indian School Rd Ste 211, Phoenix, AZ 85018-5410 | 2006-10-04 |
| 1932117041 | Robert Lewis Levitin | Preventive Medicine | 15150 N Hayden Rd Ste 110, Scottsdale, AZ 85260-2514 | 2006-08-04 |
| 1053861658 | U.S. Healthworks Medical Group of Arizona, Inc. | Preventive Medicine | 1626 S Priest Dr, Suite 101, Tempe, AZ 85281-6204 | 2016-10-06 |
| Find all providers with the same taxonomy | ||||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
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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.