DR. DAVID BENJAMIN KETROSER (NPI# 1275671711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275671711 |
| Entity Type | Individual |
| Full Name | DR. DAVID BENJAMIN KETROSER |
| Credential | M.D. |
| Practice Address |
2000 Plymouth Rd Suite 110 Minnetonka MN 55305-2366 |
| Mailing Address |
Po Box 427 Hopkins MN 55343-0427 |
| Practice Telephone | 9529332337 |
| Practice Fax Number | 9529333669 |
| Mailing Telephone | 9529332337 |
| Mailing Fax Number | 9529333669 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 24316 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2000 PLYMOUTH RD SUITE 110 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891783726 | Now Medical, Inc | Clinic/Center | 2000 Plymouth Rd, Suite 100, Minnetonka, MN 55305-2366 | 2005-10-13 |
| 1881049906 | Elizabeth Anna Kauppi | Occupational Therapist | 2000 Plymouth Rd, Suite #220, Minnetonka, MN 55305-2366 | 2016-04-26 |
| 1073972402 | Caroline M Hardyman | Speech-Language Pathologist | 2000 Plymouth Rd, Suite 220, Minnetonka, MN 55305-2366 | 2016-02-13 |
| 1306218573 | Mackenzie Deutsch | Speech-Language Pathologist | 2000 Plymouth Rd, Suite 220, Minnetonka, MN 55305-2366 | 2015-10-27 |
| 1700202942 | Paige Frances Lockwood Jones | Physician Assistant | 2000 Plymouth Rd, Suite 2000, Minnetonka, MN 55305-2366 | 2014-03-12 |
| 1962843177 | Kelsey Hoffmann | Occupational Therapist | 2000 Plymouth Rd, Suite 220, Minnetonka, MN 55305-2366 | 2013-07-16 |
| 1598099418 | Andrew Gilbert | Physician Assistant | 2000 Plymouth Rd, Minnetonka, MN 55305-2366 | 2009-09-24 |
| 1306079652 | Luke Hammer | Physician Assistant | 2000 Plymouth Rd, Minnetonka, MN 55305-2366 | 2009-09-02 |
| 1326203258 | Amy Keding | Physician Assistant | 2000 Plymouth Rd, Minnetonka, MN 55305-2366 | 2008-07-21 |
| 1720248172 | Jennifer Kupper | Physician Assistant | 2000 Plymouth Rd, Minnetonka, MN 55305-2366 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963191 | Tressa Dee Weeden-bootz | Neuromusculoskeletal Medicine, Sports Medicine | 8071 Curtis Ln, Eden Prairie, MN 55347-1110 | 2020-08-22 |
| 1891841128 | Chiromed Clinic, P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 5355 Penn Ave S, Minneapolis, MN 55419-1056 | 2007-01-27 |
| 1639121460 | James Edmund Call Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 22015 State Highway 6, Deerwood, MN 56444-6278 | 2006-05-17 |
| 1164410270 | Robert A Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 640 Jackson St - Mc 11503l, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2005-10-12 |
| 1679560213 | Matthew A. Raml | Neuromusculoskeletal Medicine, Sports Medicine | 1500 Irving St, Alexandria, MN 56308-2515 | 2005-09-29 |
| 1184148017 | Andrew Jacob Olson | Neuromusculoskeletal Medicine, Sports Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-08-02 |
| 1528389244 | Nicolas N Madigan | Neuromusculoskeletal Medicine, Sports Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-06-16 |
| 1629193446 | Metropolitan Internists, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 825 S 8th St, Suite #600 Parkside Prof Bldg, Minneapolis, MN 55404-1208 | 2007-03-20 |
| 1528163581 | James Herbert House | Neuromusculoskeletal Medicine, Sports Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-14 |
| 1194751552 | Sports and Orthopaedic Specialists, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2006-06-25 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on DR. DAVID BENJAMIN KETROSER.
| 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.