Larry D Ketner (NPI# 1407955487, PAC ID# 0749370229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1407955487 |
| PAC ID by PECOS | 0749370229 |
| Professional Enrollment ID | I20071220000475 |
| Full Name | Larry D Ketner |
| Address |
2011 Rock St D1 Peru IL 61354-1392 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140234 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| 140143 | ST MARGARETS HOSPITAL |
| 141310 | OSF SAINT PAUL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2011 Rock St, D1, Peru, IL 61354-1392 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 82% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 89% |
| Street Address |
2011 ROCK ST D1 |
| City | PERU |
| State | IL |
| Zip | 61354-1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dotun I Oyedijo | Radiation Oncology | 4391 Venture Dr, Peru, IL 61354-1018 | |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| David J Coynik | Dermatology | David J Coynik, Md,pc | 4413 Progress Blvd, Peru, IL 61354-1109 |
| Dale R Chilson | Otolaryngology | St. Margarets Hospital | 4040 Progress Blvd, Peru, IL 61354-1124 |
| Katrina Mcquilkin | Chiropractic | 3815 Progress Blvd, Suite C, Peru, IL 61354-1188 | |
| Bulent Mamikoglu | Otolaryngology | 4231 Progress Blvd, Suite 2, Peru, IL 61354-1193 | |
| Rakesh K Garg | Neurology | 4231 Progress Blvd, Peru, IL 61354-1193 | |
| Angela Benavides | Neurology | St. Margarets Hospital | 1400 Midtown Plaza, Peru, IL 61354-1269 |
| Lacey M Strack | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Rachel L Colby | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Find all physicians in zip 61354 | |||
| City | PERU |
| Zip Code | 61354 |
| Specialty | PODIATRY |
| City + Specialty | PERU + PODIATRY |
Please comment or provide details below to improve the information on Larry D Ketner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.