THOMAS J KETTERER (NPI# 1174501852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174501852 |
| Entity Type | Individual |
| Full Name | THOMAS J KETTERER |
| Credential | M.D. |
| Practice Address |
560 W Brown Rd #1008 Mesa AZ 85201-3221 |
| Practice Telephone | 4808338620 |
| Mailing Telephone | 4808338620 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD18540 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
560 W BROWN RD #1008 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846571 | Richard W Hawkins | Orthopaedic Surgery | 560 W Brown Rd, Suite 1003, Mesa, AZ 85201-3221 | 2005-07-28 |
| 1922250026 | Mammography Partners LLC | Clinic/Center | 560 W Brown Rd, #1001, Mesa, AZ 85201-3221 | 2008-10-21 |
| 1356419410 | Zhanna F Shpitalnik | Psychiatry & Neurology | 560 W Brown Rd, #4007, Mesa, AZ 85201-3221 | 2006-11-30 |
| 1528086691 | Anne Marie Cardinal | Social Worker | 560 W Brown Rd, #4007, Mesa, AZ 85201-3221 | 2006-07-17 |
| 1902850597 | West Dermatology of Arizona, Inc | Dermatology | 560 W Brown Rd, Suite 4001, Mesa, AZ 85201-3221 | 2006-05-19 |
| 1063465318 | Mitchell Kirk Bogle | Physician Assistant | 560 W Brown Rd, Suite 4001, Mesa, AZ 85201-3221 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285178756 | Herbert Wong | Otolaryngology | 5505 E Mclellan Rd Unit 118, Mesa, AZ 85205-3409 | 2016-12-18 |
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1831159151 | Janelle A. Y. Engel | Otolaryngology | 1520 S. Dobson Road, Suite 305, Mesa, AZ 85202 | 2006-03-23 |
| 1366497976 | Glenn B. Rothman | Otolaryngology | 1520 S. Dobson Road, Suite 305, Mesa, AZ 85202 | 2006-05-23 |
| 1427027408 | J Gavin Gonzalez | Otolaryngology | 4140 E Baseline Rd, Ste 211, Mesa, AZ 85206 | 2006-03-14 |
| 1669449401 | Robert Henry Thompson IIi | Otolaryngology | 2058 S Dobson Rd, #10, Mesa, AZ 85202-6455 | 2006-03-01 |
| 1114994951 | Raquel A Redtfeldt | Otolaryngology | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2006-03-01 |
| 1740252147 | Leopold K Yin | Otolaryngology | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476195 | Arizona Breathe Free Sinus & Allergy Centers | Otolaryngology | 9377 E Bell Rd Ste 207, Scottsdale, AZ 85260-1504 | 2020-04-22 |
| 1114546660 | Claire Marguerite Eileen Gleadhill | Otolaryngology | 1501 N Campell Ave, Tucson, AZ 85724-0001 | 2020-04-15 |
| 1861020703 | Southwest Ear, Nose & Throat, Pllc | Otolaryngology | 1760 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6559 | 2020-03-27 |
| 1093348096 | Southwest Ear, Nose, & Throat Specialists | Otolaryngology | 1760 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6559 | 2020-02-18 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1255750162 | John Stanton Hamblin | Otolaryngology | 726 N Greenfield Rd Ste 101, Gilbert, AZ 85234-5062 | 2014-04-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1316280142 | Shilpa Sindhu Vishwanath | Otolaryngology | 2051 W Chandler Blvd Ste 5, Chandler, AZ 85224-6239 | 2013-03-29 |
| 1376819417 | Alexander Davis Lund | Otolaryngology | 77 W Forest Ave Ste 107, Flagstaff, AZ 86001 | 2012-03-22 |
| 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.