Jonathan F Ketchum, DPM
Podiatrist, Primary Podiatric Medicine in Worcester, Massachusetts
1922195627- Practice location
- 488 Pleasant St, Worcester, MA 01609-1857
- Phone
- 508-755-9573
- Fax
- —
- Last updated
- March 25, 2008
Jonathan F. Ketchum is a Podiatrist, Primary Podiatric Medicine based in Worcester, MA. Jonathan F. Ketchum practices in Worcester, MA and has the professional credentials of DPM. The NPI Number for Jonathan F. Ketchum is 1922195627 and holds a License No. 2087 (MA). The current practice location address for Jonathan F. Ketchum is 488 Pleasant St, Worcester, MA 01609-1857 and can be reached out via phone at 508-755-9573.
Provider Profile Details
- NPI Number
- 1922195627
- Provider Name
- Jonathan F. Ketchum
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 488 Pleasant St, Worcester, MA 01609-1857
- Phone Number
- 508-755-9573
- Primary Taxonomy
- Podiatrist, Primary Podiatric Medicine · 213EP1101X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 6, 2006
- Last Update Date
- March 25, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 488 Pleasant St
Worcester, MA 01609-1857 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-1857
- Phone Number
- 508-755-9573
Provider Business Mailing Address Details
- Address
- 126 Bushy Ln
Rutland, MA 01543-2025 - City
- Rutland
- State
- MA
- Zip
- 01543-2025
- Phone Number
- 508-886-6280
License Information
- License Number
- 2087
- License State
- MA
- Taxonomy
- Podiatrist, Primary Podiatric Medicine · 213EP1101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jonathan F Ketchum, DPM?
The NPI number of Jonathan F Ketchum, DPM is 1922195627. It was assigned on October 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Jonathan F Ketchum, DPM?
Jonathan F Ketchum, DPM is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in MA under license number 2087.
Where does Jonathan F Ketchum, DPM practice?
The practice location is 488 Pleasant St, Worcester, MA 01609-1857. The office can be reached at 508-755-9573 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922195627 directly on the NPPES registry website.