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LLOYD HOWARD KETCHUM NPI 1164465191


NPI Information

NPI: 1164465191
Provider Name: LLOYD HOWARD KETCHUM
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Organization: THE DULUTH CLINIC LTD

PECOS Registration: Yes

Address:
400 E 3RD ST
DULUTH, MN
ZIP 55805
Phone: (218) 786-3625
Get Directions

Lloyd Howard Ketchum is a hematology internal medicine in Duluth, MN with 29 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Lloyd Howard Ketchum NPI is 1164465191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:1995

The provider's business location address is:

400 E 3RD ST
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-3625

The NPI 1164465191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour (HCPCS:96367)
  • Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical Oncology48933MINNESOTANo
2207RX0202XInternal MedicineMedical Oncology49571-20WISCONSINNo
3207RH0000XInternal MedicineHematology49571-20WISCONSINNo
4207RH0000XInternal MedicineHematology48933MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134880100MEDICAIDWISCONSIN
2830000469MEDICARE PINMINNESOTA
3985908000MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.