Eric M Ketcham (NPI# 1134193352, PAC ID# 7911800164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1134193352 |
| PAC ID by PECOS | 7911800164 |
| Professional Enrollment ID | I20040823001422 |
| Full Name | Eric M Ketcham |
| Organization Legal Name | LOS ALAMOS EMERGENCY MEDICAL ASSOCIATES INC |
| Address |
3917 W Rd Los Alamos NM 87544-2275 |
| Phone Number | 5056624201 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1557680105 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320011 | PRESBYTERIAN ESPANOLA HOSPITAL |
| 320033 | LOS ALAMOS MEDICAL CENTER |
| 320090 |
| Address | Phone | Organization |
|---|---|---|
| 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 5058411234 | PRESBYTERIAN HEALTHCARE SERVICES |
| 1010 Spruce St, Espanola, NM 87532-2724 | 5053670360 | PRESBYTERIAN HEALTHCARE SERVICES |
| 3917 W Rd, Los Alamos, NM 87544-2275 | 5056624201 | LOS ALAMOS EMERGENCY MEDICAL ASSOCIATES INC |
| Organization Legal Name | LOS ALAMOS EMERGENCY MEDICAL ASSOCIATES INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Gutierrez | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Josiah H Child | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Miguel Dozier | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Valerie K Merl | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Peter J Bloomfield | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Christopher L Hammond | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Street Address |
3917 W RD |
| City | LOS ALAMOS |
| State | NM |
| Zip | 87544-2275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori S Whitley | Dermatology | Los Alamos Medical Care Clinic Ltd | 3917 W Rd, Suite 150, Los Alamos, NM 87544-5303 |
| Fei Gu | Hematology/oncology | Los Alamos Physician Practices LLC | 3917 W Rd, 225 Northern New Mexico Cancer Care, Los Alamos, NM 87544-5311 |
| Ann C. Linnebur | Cardiovascular Disease (cardiology) | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Christopher A Gutierrez | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Molly J Vosburg | Internal Medicine | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Indra Prasad R Peram | Family Medicine | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Jeanne M Beyerle | Physician Assistant | Los Alamos Medical Care Clinic Ltd | 3917 W Rd, Suite 150, Los Alamos, NM 87544-5303 |
| Justin L Green | General Surgery | Los Alamos Physician Practices LLC | 3917 W Rd, 139 Los Alamos Surgical Associates, Los Alamos, NM 87544-5307 |
| Michelle Certik | Physician Assistant | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Madhavi Garimella | Endocrinology | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley C Pruett | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 5600 Quemazon, Los Alamos, NM 87544-1765 |
| Jeffrey M Sauer | Podiatry | 3917 W Rd, Suite 135, Los Alamos, NM 87544-1776 | |
| Nicolle L Gonzales | Certified Nurse Midwife | Bridge Care for Women LLC | 3500 Trinity Dr, Los Alamos, NM 87544-2221 |
| Tom S. Steward | Clinical Social Worker | 3250 Trinity Dr, Suite B3, Los Alamos, NM 87544-2226 | |
| Michael J Marvinny | Hospitalist | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Josiah H Child | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Miguel Dozier | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Steven E Evans | Anesthesiology | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Salim Amrani | General Surgery | Los Alamos Physician Practices LLC | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Bethany Wooten | Certified Registered Nurse Anesthetist (crna) | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Find all physicians in zip 87544 | |||
| City | LOS ALAMOS |
| Zip Code | 87544 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LOS ALAMOS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Eric M Ketcham.
| 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.