William D Ketcham Ii
CWIP LLC


Address: 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Phone: 3076347711

William D Ketcham Ii (NPI# 1184668857, PAC ID# 6002005808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1184668857
PAC ID by PECOS 6002005808
Professional Enrollment ID I20110110000628
Full Name William D Ketcham Ii
Organization Legal Name CWIP LLC
Address 2003 Bluegrass Cir
Cheyenne
WY 82009-7329
Phone Number 3076347711
Gender M
Medical School UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 0840588752
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
530014 CHEYENNE REGIONAL MEDICAL CENTER
531307 COMMUNITY HOSPITAL
061309 WRAY COMMUNITY DISTRICT HOSPITAL
531305 PLATTE COUNTY MEMORIAL HOSPITAL
061301 RIO GRANDE HOSPITAL

Other Locations

Address Phone Organization
2003 Bluegrass Cir, Cheyenne, WY 82009-7329 3076347711 CWIP LLC
2003 Bluegrass Cir, Cheyenne, WY 82009-7329 CHEYENNE RADIOLOGY GROUP
2003 Bluegrass Cir, Cheyenne, WY 82009-7329 CHEYENNE MRI LIMITED PARTNERSHIP
8824 Wildflower Dr, Cheyenne, WY 82009-1215 2168441700 UNIVERSITY HOSPITALS MEDICAL GROUP INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 5%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 5%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 5%

Organization Information

Organization Legal Name CWIP LLC
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
James G Hubbard Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Eric R Hoyer Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
John W Wright Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Mark E Howshar Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Daniel R Possehn Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
David M Kellam Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Robert J Kahn Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329

Office Location

Street Address 2003 BLUEGRASS CIR
City CHEYENNE
State WY
Zip 82009-7329

Physicians in the same location

Name Specialty Organization Address
James G Hubbard Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Eric R Hoyer Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Steven Joseph Beer Neurosurgery Cheyenne Radiology Group 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
John W Wright Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Mark E Howshar Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Daniel R Possehn Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
David M Kellam Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329
Robert J Kahn Diagnostic Radiology Cwip LLC 2003 Bluegrass Cir, Cheyenne, WY 82009-7329

Physicians in the same zip code

Name Specialty Organization Address
Shawna E Hibbler Clinical Social Worker Liv In Home Counseling and Care Management LLC 1745 Silver Spur Rd, Cheyenne, WY 82009-1206
Nathaniel Mason Beaty Physician Assistant Americas Express Urgent Care, LLC 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620
Robin M Duncan Nurse Practitioner Americas Express Urgent Care, LLC 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620
Bruce W Weber Chiropractic 7124 Commons Dr, Unit D, Cheyenne, WY 82009-2620
Molly E Means Physician Assistant Americas Express Urgent Care, LLC 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620
Brant Christensen Qualified Audiologist 7215 Commons Cir, Unit C, Cheyenne, WY 82009-2666
Robert M Cline Certified Registered Nurse Anesthetist (crna) Frontier Anesthesia LLC 7220 Commons Cir, Cheyenne, WY 82009-2673
Jessica L Wiedman Certified Registered Nurse Anesthetist (crna) Frontier Anesthesia LLC 7220 Commons Cir, Cheyenne, WY 82009-2673
Kenneth S Buran Gastroenterology Digestive Health Associates of Cheyenne 7212 Commons Dr, Cheyenne, WY 82009-2675
Scott V Mcrae Gastroenterology Digestive Health Associates of Cheyenne 7212 Commons Dr, Cheyenne, WY 82009-2675
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Competitor

Search similar physicians

City CHEYENNE
Zip Code 82009
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty CHEYENNE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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