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EDWARD C KETYER M.D. NPI 1639170442


NPI Information

NPI: 1639170442
Provider Name: EDWARD C KETYER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1370 WASHINGTON PIKE
SUITE 107
BRIDGEVILLE, PA
ZIP 15017
Phone: (412) 221-0160
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Edward C Ketyer, M.D. is a pediatrics in Bridgeville, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Edward C Ketyer, M.D. NPI is 1639170442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1370 WASHINGTON PIKE
SUITE 107
BRIDGEVILLE, PA
ZIP 15017-839
Phone: (412) 221-0160
Fax: (412) 221-0860

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/8/2007.


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
1208000000XPediatricsMD045079EPENNSYLVANIAYes

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
1E45247MEDICARE UPIN
20012963100003MEDICAIDPENNSYLVANIA

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: 4/28/2024

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