Reinhard Ketsche, M.D.
Individual provider Active NPI Anesthesiology Physician · Newnan, GA
NPI 1376580274 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1376580274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 29194 (GA)
- Practice address
- 745 Poplar Rd
Newnan, GA 30265-1618 - Phone
- (770) 400-1000
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Anesthesia LLC
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 351-1745
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000607 | GA | Practitioner - Anesthesiology | 2860397007 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29194 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia LLC | Anesthesiology | Current |
Accepting new patients |
| Sentry Anesthesia Management, LLC | Anesthesiology | Current |
Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Anesthesiology | Current |
Accepting new patients |
| Mak Anesthesia Holdings LLC | Anesthesiology | Current |
Accepting new patients |
| Gwinnett Anesthesia Service PC | Anesthesiology | Past | Accepting new patients |
| Henry Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
| Amsol Physicians of Columbus Ga LLC | Anesthesiology | Past | Accepting new patients |
| Progressive Anesthesia Consultants, LLC | Anesthesiology | Past | Accepting new patients |
| Amsol Physicians of Columbus Ga | Anesthesiology | Past | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 029194 | GA | |
| Anesthesiology Physician | 207L00000X | 29194 | GA | Yes |
Addresses
Primary practice location
745 Poplar Rd
Newnan, GA 30265-1618
Mailing address
PO Box 669
Lawrenceville, GA 30046-0669
Phone (770) 963-9905
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30045-7694
Phone (770) 963-9905
Other practice location 2
775 Poplar Rd Ste Ll20
Newnan, GA 30265-8306
Phone (770) 253-1912
Other providers in Newnan, GA
- Kerry Elliott DC PC
- Mary Ansley Kersey
- Kert D Jolley DMD, PC
- Ryan Mathew Kervin
- Chad M. Kessler
- Keystone Chiropractic Associates of Newnan, LLC
- Mishal Shoaib Khan
- Shazia Khan
- Syeda Maimuna Ali Khan
- Geeta Bai Khanwani
All providers in Newnan, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.