MR. ARIC LEON KETCHAM (NPI# 1922300078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922300078 |
| Entity Type | Individual |
| Full Name | MR. ARIC LEON KETCHAM |
| Credential | P.T.A. |
| Practice Address |
5121 Cottonwood St Murray UT 84107-5701 |
| Mailing Address |
3658 S 5725 W West Valley City UT 84128-2633 |
| Practice Telephone | 8015702000 |
| Mailing Telephone | 8018314012 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Street Address |
5121 COTTONWOOD ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229483 | Rebecca A Cable | Nurse Practitioner | 5121 Cottonwood St, Murray, UT 84107-5701 | 2005-10-20 |
| 1275154767 | Austin Bud Holder | Occupational Therapist | 5121 Cottonwood St, Murray, UT 84107 | 2020-05-06 |
| 1518422336 | Casey M Anderson | Physical Therapist | 5121 Cottonwood St, Acute Care Physical Therapy, Murray, UT 84107 | 2019-02-06 |
| 1750807095 | Erick Bryan Howe | Nurse Practitioner | 5121 Cottonwood St, Respiratory Intensive Care Unit, Murray, UT 84107 | 2017-08-18 |
| 1376806240 | Justin Craig Fry | Occupational Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2012-06-16 |
| 1811274095 | Jill Nicole Wilson | Nurse Practitioner | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-11-15 |
| 1447532569 | Kathryn Ann Charyk | Genetic Counselor, MS | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-09-14 |
| 1730461328 | Cynthia Virginia Davis | Occupational Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-09-09 |
| 1669753539 | Andrtea Howard | Physical Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-09-06 |
| 1487932927 | Ihc Health Services Inc | Internal Medicine | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174932966 | Wendell Todd Shrum | General Acute Care Hospital | 1360 E 5360 S, Murray, UT 84117-7361 | 2014-08-06 |
| 1831491430 | Ihc Health Services Inc | General Acute Care Hospital | 5300 South State Street, Murray, UT 84107 | 2010-12-02 |
| 1649572793 | Jeffrey Scott Dodd | General Acute Care Hospital | 5121 Cottonwood St, Murray, UT 84107-5701 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174979108 | Beaver Valley Hospital | General Acute Care Hospital | 1109 N. 100 W., Beaver, UT 84713-1670 | 2016-05-09 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1942332465 | Intermountain Healthcare | General Acute Care Hospital | 4401 S Harrison Blvd, Mckay-dee, Ogden, UT 84403 | 2007-03-10 |
| 1952463036 | Gunnison Valley Hospital | General Acute Care Hospital | 64 East 100 North, Gunnison, UT 84634 | 2006-12-14 |
| 1033538731 | Blue Mountain Hospital Dialysis | General Acute Care Hospital | 802 S 200 W, Suite A, Blanding, UT 84511-3910 | 2014-04-09 |
| 1316277635 | University of Utah | General Acute Care Hospital | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-01-08 |
| 1740519370 | Kane County Human Resource Special Service District | General Acute Care Hospital | 355 N Main St, Kanab, UT 84741-3260 | 2009-12-10 |
| 1881658110 | Central Valley Medical Center | General Acute Care Hospital | 48 W 1500 N, Nephi, UT 84648-8900 | 2006-04-13 |
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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.